ROSA M MARTINEZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079555

License Status

NOT RENEWED

Business

First Name

ROSA

Middle

Last Name

MARTINEZ

Business Name

ROSA M MARTINEZ

Original Issue Date

08/31/1996

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

CISSNA PARK

State

Zip

60924

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/15/2005