CARLA M PENTECOST Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041260372

License Status

NOT RENEWED

Business

First Name

CARLA M

Last Name

PENTECOST

Business Name

CARLA M PENTECOST

Original Issue Date

10/23/1990

Effective Date

10/23/1990

Expiration Date

05/31/1992

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006