ELIZABETH D CARLSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

CARLSON

Business Name

ELIZABETH D CARLSON

Original Issue Date

06/23/2009

Effective Date

05/18/2012

Expiration Date

05/31/2014

City

SPRINGFIELD

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

07/03/2014