RITA C CHISM Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

INOPERATIVE

Business

First Name

RITA

Middle

Last Name

CHISM

Business Name

RITA C CHISM

Original Issue Date

08/10/2001

Effective Date

06/04/2020

Expiration Date

05/31/2022

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/02/2022