SUSAN ELAINE MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041322080

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ELAINE

Last Name

MARTIN

Business Name

SUSAN ELAINE MARTIN

Original Issue Date

09/28/2000

Effective Date

09/28/2000

Expiration Date

05/31/2004

City

POPLAR BLUFF

State

Zip

63901

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006