ANNETTE MARIE STARK MARTIN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079162

License Status

ACTIVE

Business

First Name

ANNETTE

Middle

MARIE

Last Name

STARK MARTIN

Business Name

ANNETTE MARIE STARK MARTIN

Original Issue Date

04/25/1996

Effective Date

12/30/2024

Expiration Date

01/31/2027

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/30/2024