PHYLLIS J MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041168566

License Status

NOT RENEWED

Business

First Name

PHYLLIS J

Last Name

MARTIN

Business Name

PHYLLIS J MARTIN

Original Issue Date

11/01/1976

Effective Date

11/01/1976

Expiration Date

05/31/2008

City

COVINGTON

State

Zip

47932

County

INDIANA

Ever Disciplined

LastModifiedDate

07/11/2008