CAROL M STORK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041384762

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

STORK

Business Name

CAROL M STORK

Original Issue Date

06/30/2010

Effective Date

06/30/2010

Expiration Date

05/31/2012

City

MERRILLAN

State

Zip

54754

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2012