LESLIE ELAINE CARTER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****93

License Status

INACTIVE

Business

First Name

LESLIE

Middle

ELAINE

Last Name

CARTER

Business Name

LESLIE ELAINE CARTER

Original Issue Date

08/21/2017

Effective Date

08/31/2020

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/31/2020