CAROLYNN K MONTGOMERY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041372417

License Status

NOT RENEWED

Business

First Name

CAROLYNN

Middle

Last Name

MONTGOMERY

Business Name

CAROLYNN K MONTGOMERY

Original Issue Date

10/14/2008

Effective Date

04/13/2010

Expiration Date

05/31/2012

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

07/10/2012