PHYLLIS MAE MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041152936

License Status

NOT RENEWED

Business

First Name

PHYLLIS MAE

Last Name

MARTIN

Business Name

PHYLLIS MAE MARTIN

Original Issue Date

12/14/1973

Effective Date

12/14/1973

Expiration Date

05/31/2002

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/09/2006