AVIS M MARTIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043008672

License Status

INACTIVE

Business

First Name

AVIS M

Last Name

MARTIN

Business Name

AVIS M MARTIN

Original Issue Date

07/31/1959

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005