MARTHA A AZOTEA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043039373

License Status

NOT RENEWED

Business

First Name

MARTHA A

Last Name

AZOTEA

Business Name

MARTHA A AZOTEA

Original Issue Date

06/11/1976

Expiration Date

05/01/1982

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/21/2005