TANA D MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041210444

License Status

NOT RENEWED

Business

First Name

TANA D

Last Name

MARTIN

Business Name

TANA D MARTIN

Original Issue Date

08/03/1982

Effective Date

08/03/1982

Expiration Date

05/31/2002

City

FOX LAKE

State

Zip

60020

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006