MARY ELLEN CARLSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041168324

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

CARLSON

Business Name

MARY ELLEN CARLSON

Original Issue Date

11/01/1976

Effective Date

04/30/2020

Expiration Date

08/31/2022

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/14/2022