NICOLE W CARLSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****38

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

CARLSON

Business Name

NICOLE W CARLSON

Original Issue Date

11/20/2003

Effective Date

11/20/2003

Expiration Date

05/31/2006

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006