CARLA FERGUSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

NOT RENEWED

Business

First Name

CARLA

Last Name

FERGUSON

Business Name

CARLA FERGUSON

Original Issue Date

05/05/2011

Effective Date

05/05/2011

Expiration Date

05/31/2012

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012