MARTHA DOUGLAS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043026215

License Status

INACTIVE

Business

First Name

MARTHA

Last Name

DOUGLAS

Business Name

MARTHA DOUGLAS

Original Issue Date

02/02/1970

Expiration Date

01/31/1991

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

10/21/2005