DOROTHY M MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012059

License Status

NOT RENEWED

Business

First Name

DOROTHY M

Last Name

MARTIN

Business Name

DOROTHY M MARTIN

Original Issue Date

01/22/1964

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/15/2005