CARMELITA R JOHNSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043072627

License Status

INACTIVE

Business

First Name

CARMELITA R

Last Name

JOHNSON

Business Name

CARMELITA R JOHNSON

Original Issue Date

12/23/1992

Effective Date

11/01/2002

Expiration Date

01/31/2003

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005