MARTHA CARLSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209002693

License Status

NOT RENEWED

Business

First Name

MARTHA

Last Name

CARLSON

Business Name

MARTHA CARLSON

BusinessDBA

MARTHY CARLSON

Original Issue Date

07/09/2001

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/11/2010