CAROLYN SUE KROLL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

SUE

Last Name

KROLL

Business Name

CAROLYN SUE KROLL

Original Issue Date

12/16/2002

Effective Date

12/16/2002

Expiration Date

05/31/2006

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006