THEA-DANE P MARTIN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041485509

License Status

ACTIVE

Business

First Name

THEA-DANE

Middle

Last Name

MARTIN

Business Name

THEA-DANE P MARTIN

Original Issue Date

09/13/2019

Effective Date

03/10/2026

Expiration Date

05/31/2028

City

JACKSON

State

Zip

63755

Ever Disciplined

LastModifiedDate

03/10/2026