CARLA RAE HUMPHREYS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041135912

License Status

NOT RENEWED

Business

First Name

CARLA RAE

Last Name

HUMPHREYS

Business Name

CARLA RAE HUMPHREYS

Original Issue Date

08/26/1970

Effective Date

05/18/2020

Expiration Date

08/31/2022

City

POLO

State

Zip

61064

County

OGLE

Ever Disciplined

LastModifiedDate

10/14/2022