PHILLIP BRIAN MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075875

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

BRIAN

Last Name

MARTIN

Business Name

PHILLIP BRIAN MARTIN

Original Issue Date

08/01/1994

Expiration Date

01/31/1999

City

MOUNT CARMEL

State

Zip

62863

Ever Disciplined

LastModifiedDate

05/27/2005