FANNIE D MARTIN - Registered Nurse License in Illinois | # 041180452

FANNIE D MARTIN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041180452

License Status

NOT RENEWED

Business

N

First Name

FANNIE D

Last Name

MARTIN

Business Name

FANNIE D MARTIN

Original Issue Date

05/08/1978

Effective Date

05/04/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021