FAY ELLEN MARTIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043033424

License Status

INACTIVE

Business

First Name

FAY ELLEN

Last Name

MARTIN

Business Name

FAY ELLEN MARTIN

Original Issue Date

09/24/1973

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005