MARTHA S MOULTON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041121343

License Status

NOT RENEWED

Business

First Name

MARTHA S

Last Name

MOULTON

Business Name

MARTHA S MOULTON

Original Issue Date

05/18/1967

Effective Date

05/30/2014

Expiration Date

05/31/2016

City

PLYMOUTH

State

Zip

48170

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/11/2016