MARY I CARLSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041110978

License Status

INACTIVE

Business

First Name

MARY I

Last Name

CARLSON

Business Name

MARY I CARLSON

Original Issue Date

10/09/1964

Effective Date

05/03/2012

Expiration Date

05/31/2014

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/06/2014