CAROL ANN BOUSLOG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041135752

License Status

NOT RENEWED

Business

First Name

CAROL ANN

Last Name

BOUSLOG

Business Name

CAROL ANN BOUSLOG

Original Issue Date

08/14/1970

Effective Date

08/14/1970

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006