THERESA ANN MARTIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043039485

License Status

INACTIVE

Business

First Name

THERESA ANN

Last Name

MARTIN

Business Name

THERESA ANN MARTIN

Original Issue Date

06/11/1976

Effective Date

12/28/2016

Expiration Date

01/31/2019

City

CAMP POINT

State

Zip

62320

County

ADAMS

Ever Disciplined

LastModifiedDate

11/14/2018