MARIETTA CARPENTER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020640

License Status

NOT RENEWED

Business

First Name

MARIETTA

Last Name

CARPENTER

Business Name

MARIETTA CARPENTER

Original Issue Date

10/02/1967

Expiration Date

01/31/1997

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005