CYNTHIA L CHATHAM Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

INOPERATIVE

Business

First Name

CYNTHIA L

Last Name

CHATHAM

Business Name

CYNTHIA L CHATHAM

Original Issue Date

06/30/2005

Effective Date

03/23/2016

Expiration Date

05/31/2018

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

03/01/2018