PHYLLIS M MARTIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041094947

License Status

INACTIVE

Business

First Name

PHYLLIS M

Last Name

MARTIN

Business Name

PHYLLIS M MARTIN

Original Issue Date

12/31/1959

Effective Date

12/31/1959

Expiration Date

05/31/1986

City

NILES

State

Zip

49120

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/27/2006