CARLA FERGUSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

NOT RENEWED

Business

First Name

CARLA

Last Name

FERGUSON

Business Name

CARLA FERGUSON

Original Issue Date

04/14/2011

Effective Date

03/20/2012

Expiration Date

05/31/2014

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

07/03/2014