SHELLEY A CARLSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090154

License Status

NOT RENEWED

Business

First Name

SHELLEY

Middle

Last Name

CARLSON

Business Name

SHELLEY A CARLSON

Original Issue Date

08/31/2004

Effective Date

11/01/2004

Expiration Date

01/31/2007

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

03/16/2007