PHILLIP BRIAN MARTIN - Registered Nurse License in Illinois | # 043075875

PHILLIP BRIAN MARTIN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075875

License Status

NOT RENEWED

Business

N

First Name

PHILLIP

Middle

BRIAN

Last Name

MARTIN

Business Name

PHILLIP BRIAN MARTIN

Original Issue Date

08/01/1994

Expiration Date

01/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005