CHARLIE M MARTIN NORTHERN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043063141

License Status

INACTIVE

Business

First Name

CHARLIE M

Last Name

MARTIN NORTHERN

Business Name

CHARLIE M MARTIN NORTHERN

Original Issue Date

07/01/1986

Effective Date

01/26/2011

Expiration Date

01/31/2013

City

JOLIET

State

Zip

60436

County

WILL

Ever Disciplined

LastModifiedDate

11/08/2012