RITA C CHISM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003585

License Status

INACTIVE

Business

First Name

RITA

Middle

Last Name

CHISM

Business Name

RITA C CHISM

Original Issue Date

08/09/2001

Effective Date

06/04/2020

Expiration Date

08/31/2022

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

06/14/2022