CARLA ANN COLVIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

INACTIVE

Business

First Name

CARLA

Middle

ANN

Last Name

COLVIN

Business Name

CARLA ANN COLVIN

Original Issue Date

07/28/2016

Effective Date

08/18/2020

Expiration Date

05/31/2022

City

HOT SPRINGS VILLAGE

State

Zip

71909

County

COOK

Ever Disciplined

LastModifiedDate

08/18/2020