PHYLLIS MAE MARTIN - Registered Nurse License in Illinois | # 041152936

PHYLLIS MAE MARTIN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041152936

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006