KELLY A CARSTENSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041315998

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

CARSTENSEN

Business Name

KELLY A CARSTENSEN

Original Issue Date

08/24/1999

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

08/16/2010

Case Number

2005005092

Action

Suspension

Discipline Start Date

07/30/2009

Discipline Reason

after violated the terms of a prior Agreement by testing positive for alcohol and having relapsed.