CAROL M CHURCHILL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041270739

License Status

INACTIVE

Business

First Name

CAROL M

Last Name

CHURCHILL

Business Name

CAROL M CHURCHILL

Original Issue Date

10/06/1992

Effective Date

11/01/2007

Expiration Date

05/31/2008

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/11/2008