CAROLYN SURVELL MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041171503

License Status

NOT RENEWED

Business

First Name

CAROLYN SURVELL

Last Name

MARTIN

Business Name

CAROLYN SURVELL MARTIN

Original Issue Date

11/01/1976

Effective Date

05/02/2014

Expiration Date

05/31/2016

City

EAST SAINT LOUIS

State

Zip

62203

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/11/2016