CAROLYN J VANDERMYDE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041115712

License Status

INACTIVE

Business

First Name

CAROLYN J

Last Name

VANDERMYDE

Business Name

CAROLYN J VANDERMYDE

Original Issue Date

12/15/1965

Effective Date

04/16/2012

Expiration Date

05/31/2014

City

MORRISON

State

Zip

61270

County

WHITESIDE

Ever Disciplined

LastModifiedDate

03/06/2014