GEORGIA C MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043027582

License Status

NOT RENEWED

Business

First Name

GEORGIA C

Last Name

MARTIN

Business Name

GEORGIA C MARTIN

Original Issue Date

01/25/1971

Effective Date

02/10/2005

Expiration Date

01/31/2003

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005

Case Number

2002007535

Action

Suspension

Discipline Start Date

02/09/2005

Discipline Reason

Failed to file and/or pay Illinois income taxes.