CAROL S REVAK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041259669

License Status

INACTIVE

Business

First Name

CAROL S

Last Name

REVAK

Business Name

CAROL S REVAK

Original Issue Date

09/29/1990

Effective Date

03/29/2010

Expiration Date

05/31/2012

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

03/08/2012