MARTHA K CHURCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100216

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

Last Name

CHURCH

Business Name

MARTHA K CHURCH

BusinessDBA

KINDLE

Original Issue Date

08/19/2005

Effective Date

12/28/2016

Expiration Date

01/31/2019

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

03/28/2019