ANGELICA JOSEPHINE MARTINEZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043108976

License Status

INACTIVE

Business

First Name

ANGELICA

Middle

JOSEPHINE

Last Name

MARTINEZ

Business Name

ANGELICA JOSEPHINE MARTINEZ

Original Issue Date

09/28/2009

Effective Date

01/18/2011

Expiration Date

01/31/2013

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/08/2012