CAROL WILSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

NOT RENEWED

Business

First Name

CAROL

Last Name

WILSON

Business Name

CAROL WILSON

Original Issue Date

09/17/2015

Effective Date

08/18/2020

Expiration Date

08/31/2022

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022