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*****77

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

CARLSON

Business Name

NICOLE W CARLSON

Original Issue Date

08/11/2004

Effective Date

04/26/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014