CAROL ANN BOUSLOG - Registered Nurse License in Illinois | # 041135752

CAROL ANN BOUSLOG

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041135752

License Status

NOT RENEWED

Business

N

First Name

CAROL ANN

Last Name

BOUSLOG

Business Name

CAROL ANN BOUSLOG

Original Issue Date

08/14/1970

Effective Date

08/14/1970

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006