LESLIE M CARMACK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007212

License Status

ACTIVE

Business

First Name

LESLIE M

Last Name

CARMACK

Business Name

LESLIE M CARMACK

Original Issue Date

08/15/2008

Effective Date

05/31/2024

Expiration Date

05/31/2026

City

DOWNS

State

Zip

61736

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/02/2026