PENNY J CARLS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041276113

License Status

INACTIVE

Business

First Name

PENNY

Middle

Last Name

CARLS

Business Name

PENNY J CARLS

Original Issue Date

10/12/1993

Effective Date

03/30/2010

Expiration Date

05/31/2012

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

03/08/2012