SALLY DEVINE CARLSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031947

License Status

INACTIVE

Business

First Name

SALLY DEVINE

Last Name

CARLSON

Business Name

SALLY DEVINE CARLSON

Original Issue Date

12/13/1972

Effective Date

03/28/2007

Expiration Date

01/31/2009

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/10/2008