MARTHA CARLSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

NOT RENEWED

Business

First Name

MARTHA

Last Name

CARLSON

Business Name

MARTHA CARLSON

BusinessDBA

MARTHY CARLSON

Original Issue Date

10/01/2001

Effective Date

10/01/2001

Expiration Date

05/31/2008

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

07/11/2008