CARLA R POLK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043121277

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

Last Name

POLK

Business Name

CARLA R POLK

Original Issue Date

08/26/2015

Effective Date

02/01/2017

Expiration Date

01/31/2019

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/28/2019