CARLA JO HANSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041296777

License Status

NOT RENEWED

Business

First Name

CARLA JO

Last Name

HANSEN

Business Name

CARLA JO HANSEN

Original Issue Date

05/15/1996

Effective Date

05/15/1996

Expiration Date

05/31/1998

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006