CARROLL D WILSON - Registered Nurse License in Illinois | # 043064173

CARROLL D WILSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043064173

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

Y

LastModifiedDate

10/21/2005

Case Number

2001008460

Action

Revocation

Discipline Start Date

12/19/2003