POLLY BARBARA CARLSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134313

License Status

INACTIVE

Business

First Name

POLLY BARBARA

Last Name

CARLSON

Business Name

POLLY BARBARA CARLSON

Original Issue Date

01/16/1970

Effective Date

05/20/2010

Expiration Date

05/31/2012

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

03/08/2012