JILL E MARTIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084608

License Status

INACTIVE

Business

First Name

JILL

Middle

Last Name

MARTIN

Business Name

JILL E MARTIN

Original Issue Date

01/28/2000

Effective Date

12/05/2002

Expiration Date

01/31/2003

City

ROXANA

State

Zip

62084

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005