SUSAN L MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041227462

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

MARTIN

Business Name

SUSAN L MARTIN

Original Issue Date

11/13/1984

Effective Date

11/13/1984

Expiration Date

05/31/1990

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006