CAROL ANN BACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041184814

License Status

NOT RENEWED

Business

First Name

CAROL ANN

Last Name

BACK

Business Name

CAROL ANN BACK

Original Issue Date

10/16/1978

Effective Date

04/21/2016

Expiration Date

05/31/2018

City

CRESTON

State

Zip

60113

County

OGLE

Ever Disciplined

LastModifiedDate

07/19/2018