CAROL ANN POVALITIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032135

License Status

NOT RENEWED

Business

First Name

CAROL ANN

Last Name

POVALITIS

Business Name

CAROL ANN POVALITIS

Original Issue Date

12/14/1972

Effective Date

01/27/2015

Expiration Date

01/31/2017

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/27/2017