MARY P MARTIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041122719

License Status

INACTIVE

Business

First Name

MARY P

Last Name

MARTIN

Business Name

MARY P MARTIN

Original Issue Date

09/07/1967

Effective Date

09/07/1967

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/04/2007