CAROL A MONTGOMERY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041117805

License Status

NOT RENEWED

Business

First Name

CAROL A

Last Name

MONTGOMERY

Business Name

CAROL A MONTGOMERY

Original Issue Date

08/03/1966

Effective Date

03/26/2010

Expiration Date

05/31/2012

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/10/2012