CAROLE A OTIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041213624

License Status

NOT RENEWED

Business

First Name

CAROLE A

Last Name

OTIS

Business Name

CAROLE A OTIS

Original Issue Date

11/04/1982

Effective Date

03/31/2010

Expiration Date

05/31/2012

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

07/10/2012