MARTHA LOU STAULCUP Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043018695

License Status

INACTIVE

Business

First Name

MARTHA LOU

Last Name

STAULCUP

Business Name

MARTHA LOU STAULCUP

Original Issue Date

02/28/1967

Effective Date

12/30/2008

Expiration Date

01/31/2011

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

11/03/2010