AMY SULLIVAN MARTIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041208140

License Status

INACTIVE

Business

First Name

AMY

Middle

SULLIVAN

Last Name

MARTIN

Business Name

AMY SULLIVAN MARTIN

Original Issue Date

01/13/1982

Effective Date

04/18/2012

Expiration Date

05/31/2014

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/06/2014