MARTHA CARLSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041145806

License Status

NOT RENEWED

Business

First Name

MARTHA

Last Name

CARLSON

Business Name

MARTHA CARLSON

BusinessDBA

MARTHY CARLSON

Original Issue Date

11/03/1972

Effective Date

04/04/2016

Expiration Date

05/31/2018

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/19/2018