MARYANNE M MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043121662

License Status

NOT RENEWED

Business

First Name

MARYANNE

Middle

Last Name

MARTIN

Business Name

MARYANNE M MARTIN

Original Issue Date

10/19/2015

Effective Date

10/19/2015

Expiration Date

01/31/2017

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/27/2017