MARTHA A STEVENS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041190886

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

Last Name

STEVENS

Business Name

MARTHA A STEVENS

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/2006

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/09/2006