MARTHA E ENGBLOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041034774

License Status

INACTIVE

Business

First Name

MARTHA E

Last Name

ENGBLOM

Business Name

MARTHA E ENGBLOM

Original Issue Date

04/25/1938

Effective Date

04/25/1938

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006