CAROL F DEWALL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041095092

License Status

NOT RENEWED

Business

First Name

CAROL F

Last Name

DEWALL

Business Name

CAROL F DEWALL

Original Issue Date

11/30/1959

Effective Date

03/30/2010

Expiration Date

05/31/2012

City

FORRESTON

State

Zip

61030

County

OGLE

Ever Disciplined

LastModifiedDate

07/10/2012