JUANITA MARIE MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028597

License Status

NOT RENEWED

Business

First Name

JUANITA MARIE

Last Name

MARTIN

Business Name

JUANITA MARIE MARTIN

Original Issue Date

05/05/1971

Expiration Date

05/01/1982

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/21/2005