CAROL J VANDER WAAL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041248331

License Status

NOT RENEWED

Business

First Name

CAROL J

Last Name

VANDER WAAL

Business Name

CAROL J VANDER WAAL

Original Issue Date

09/03/1988

Effective Date

05/08/2014

Expiration Date

05/31/2016

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/11/2016