CARMEN R COOK Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

INOPERATIVE

Business

First Name

CARMEN

Middle

Last Name

COOK

Business Name

CARMEN R COOK

Original Issue Date

03/30/2010

Effective Date

03/06/2014

Expiration Date

05/31/2016

City

CARROLLTON

State

Zip

62016

County

GREENE

Ever Disciplined

LastModifiedDate

06/06/2014