MARTHA J FRISK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041120063

License Status

NOT RENEWED

Business

First Name

MARTHA J

Last Name

FRISK

Business Name

MARTHA J FRISK

Original Issue Date

12/19/1966

Effective Date

05/06/2016

Expiration Date

05/31/2018

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/19/2018