MARTHA L BOMMARITO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041121285

License Status

INACTIVE

Business

First Name

MARTHA L

Last Name

BOMMARITO

Business Name

MARTHA L BOMMARITO

Original Issue Date

05/10/1967

Effective Date

04/28/2010

Expiration Date

05/31/2012

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/08/2012