LAURA J FULLEM CHAVIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041204086

License Status

NOT RENEWED

Business

First Name

LAURA J

Middle

FULLEM

Last Name

CHAVIS

Business Name

LAURA J FULLEM CHAVIS

Original Issue Date

10/08/1981

Effective Date

10/08/1981

Expiration Date

05/31/2006

City

CARMEL

State

Zip

93923

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006