ANNIE M MARTIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

NOT RENEWED

Business

First Name

ANNIE M

Last Name

MARTIN

Business Name

ANNIE M MARTIN

Original Issue Date

07/20/2001

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012