CONSTANCE L CARLSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111615

License Status

NOT RENEWED

Business

First Name

CONSTANCE L

Last Name

CARLSON

Business Name

CONSTANCE L CARLSON

Original Issue Date

11/25/1964

Effective Date

03/24/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012