MELISSA A MARCUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078224

License Status

NOT RENEWED

Business

First Name

MELISSA A

Last Name

MARCUM

Business Name

MELISSA A MARCUM

Original Issue Date

10/19/1995

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005