MARIETTA K FARRIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041191104

License Status

NOT RENEWED

Business

First Name

MARIETTA K

Last Name

FARRIS

Business Name

MARIETTA K FARRIS

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/1986

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/27/2006