MARTY L DORGAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041164044

License Status

NOT RENEWED

Business

First Name

MARTY L

Last Name

DORGAN

Business Name

MARTY L DORGAN

Original Issue Date

10/24/1975

Effective Date

09/28/2020

Expiration Date

08/31/2022

City

PEORIA

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

10/14/2022