MARTHA LOU STAULCUP - Registered Nurse License in Illinois | # 043018695

MARTHA LOU STAULCUP

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043018695

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

11/03/2010