STEPHANIE A CARRENO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085498

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

CARRENO

Business Name

STEPHANIE A CARRENO

Original Issue Date

10/18/2000

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/14/2009

Case Number

2008002284

Action

Refuse To Renew

Discipline Start Date

04/14/2009

Discipline Reason

after self-reported diversion of controlled substances from a facility in the state.