CAROL OLIVETTE TILLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032951

License Status

NOT RENEWED

Business

First Name

CAROL OLIVETTE

Last Name

TILLIS

Business Name

CAROL OLIVETTE TILLIS

Original Issue Date

04/16/1973

Expiration Date

01/31/1987

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005