FANNIE D MARTIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043018920

License Status

INACTIVE

Business

First Name

FANNIE D

Last Name

MARTIN

Business Name

FANNIE D MARTIN

Original Issue Date

03/23/1967

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005