PHYLLIS R MARTIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041145107

License Status

INACTIVE

Business

First Name

PHYLLIS R

Last Name

MARTIN

Business Name

PHYLLIS R MARTIN

Original Issue Date

09/29/1972

Effective Date

09/29/1972

Expiration Date

05/31/1984

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/27/2006