MARTHA DOUGLAS - Registered Nurse License in Illinois | # 043026215

MARTHA DOUGLAS

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043026215

License Status

INACTIVE

Business

N

First Name

MARTHA

Last Name

DOUGLAS

Business Name

MARTHA DOUGLAS

Original Issue Date

02/02/1970

Expiration Date

01/31/1991

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005