MARTHA JESSIE DOUGLAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043048221

License Status

NOT RENEWED

Business

First Name

MARTHA JESSIE

Last Name

DOUGLAS

Business Name

MARTHA JESSIE DOUGLAS

Original Issue Date

01/07/1980

Expiration Date

01/31/1985

City

BOUBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/21/2005