PHYLLIS A MARTIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041095746

License Status

INACTIVE

Business

First Name

PHYLLIS A

Last Name

MARTIN

Business Name

PHYLLIS A MARTIN

Original Issue Date

12/18/1959

Effective Date

12/18/1959

Expiration Date

05/31/2004

City

HOPEDALE

State

Zip

61747

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/09/2006