CAROLYN EMMA TRAVIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041150277

License Status

INACTIVE

Business

First Name

CAROLYN EMMA

Last Name

TRAVIS

Business Name

CAROLYN EMMA TRAVIS

Original Issue Date

10/03/1973

Effective Date

04/23/2012

Expiration Date

05/31/2014

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/06/2014