MARY MARTHA VENVERTLOH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146330

License Status

NOT RENEWED

Business

First Name

MARY MARTHA

Last Name

VENVERTLOH

Business Name

MARY MARTHA VENVERTLOH

Original Issue Date

11/02/1972

Effective Date

03/19/2014

Expiration Date

05/31/2016

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

07/11/2016