SHIRLEY ANN MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019757

License Status

NOT RENEWED

Business

First Name

SHIRLEY ANN

Last Name

MARTIN

Business Name

SHIRLEY ANN MARTIN

Original Issue Date

06/22/1967

Expiration Date

05/01/1982

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005