MARIETTA WELBORN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146408

License Status

NOT RENEWED

Business

First Name

MARIETTA

Last Name

WELBORN

Business Name

MARIETTA WELBORN

Original Issue Date

11/03/1972

Effective Date

05/02/2012

Expiration Date

05/31/2014

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

07/03/2014