SUSAN MARIE MARTIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070708

License Status

INACTIVE

Business

First Name

SUSAN

Middle

MARIE

Last Name

MARTIN

Business Name

SUSAN MARIE MARTIN

Original Issue Date

01/16/1992

Effective Date

01/04/2001

Expiration Date

01/31/2001

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005