CARROL A POUGH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041850

License Status

NOT RENEWED

Business

First Name

CARROL A

Last Name

POUGH

Business Name

CARROL A POUGH

Original Issue Date

07/08/1977

Effective Date

09/30/2011

Expiration Date

01/31/2013

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

03/20/2013