RAVEN J MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115426

License Status

NOT RENEWED

Business

First Name

RAVEN

Middle

Last Name

MARTIN

Business Name

RAVEN J MARTIN

Original Issue Date

08/28/2012

Effective Date

12/31/2012

Expiration Date

01/31/2015

City

MILL SHOALS

State

Zip

62862

County

WHITE

Ever Disciplined

LastModifiedDate

03/09/2015