CAROL J DAAKE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

DAAKE

Business Name

CAROL J DAAKE

Original Issue Date

08/05/2003

Effective Date

08/05/2003

Expiration Date

05/31/2006

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

10/09/2006