CARROLL D WILSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043064173

License Status

NOT RENEWED

Business

First Name

CARROLL D

Last Name

WILSON

Business Name

CARROLL D WILSON

Original Issue Date

01/17/1987

Effective Date

12/19/2003

Expiration Date

01/31/2005

City

JONESBORO

State

Zip

62952

County

UNION

Ever Disciplined

LastModifiedDate

10/21/2005

Case Number

2003007919

Action

Revocation

Discipline Start Date

05/25/2006

Discipline Reason

Felony conviction of unlawful possession of a controlled substance by deception and diverted controlled substances from a facility in the State.