PENELOPE A MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111861

License Status

NOT RENEWED

Business

First Name

PENELOPE A

Last Name

MARTIN

Business Name

PENELOPE A MARTIN

Original Issue Date

11/25/1964

Effective Date

04/23/2010

Expiration Date

05/31/2012

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/10/2012