MARTHA A LEWIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041236919

License Status

NOT RENEWED

Business

First Name

MARTHA A

Last Name

LEWIS

Business Name

MARTHA A LEWIS

Original Issue Date

09/15/1986

Effective Date

04/04/2016

Expiration Date

05/31/2018

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

07/19/2018