CARL E MUNDELIUS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003156

License Status

NOT RENEWED

Business

First Name

CARL E

Last Name

MUNDELIUS

Business Name

CARL E MUNDELIUS

Original Issue Date

07/17/2001

Effective Date

05/04/2010

Expiration Date

05/31/2012

City

STANFORD

State

Zip

40484

County

KENTUCKY

Ever Disciplined

LastModifiedDate

07/10/2012