CAROLYN MARTIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129628

License Status

INACTIVE

Business

First Name

CAROLYN

Last Name

MARTIN

Business Name

CAROLYN MARTIN

Original Issue Date

01/03/1969

Effective Date

05/21/2012

Expiration Date

05/31/2014

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/06/2014