LISA L MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043073099

License Status

NOT RENEWED

Business

First Name

LISA L

Last Name

MARTIN

Business Name

LISA L MARTIN

Original Issue Date

01/20/1993

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

DUPO

State

Zip

62239

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/15/2005