CAROLYN MONTGOMERY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041179572

License Status

NOT RENEWED

Business

First Name

CAROLYN

Last Name

MONTGOMERY

Business Name

CAROLYN MONTGOMERY

Original Issue Date

03/08/1978

Effective Date

03/08/1978

Expiration Date

05/01/1982

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/27/2006