ELIZABETH D CARLSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006847

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

CARLSON

Business Name

ELIZABETH D CARLSON

Original Issue Date

10/31/2007

Effective Date

05/17/2012

Expiration Date

05/31/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/03/2014