CAROLYN J MARTIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041108927

License Status

INACTIVE

Business

First Name

CAROLYN J

Last Name

MARTIN

Business Name

CAROLYN J MARTIN

Original Issue Date

12/19/1963

Effective Date

05/11/2010

Expiration Date

05/31/2012

City

LORAINE

State

Zip

62349

County

ADAMS

Ever Disciplined

LastModifiedDate

03/08/2012