LISSY J CHACKO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041266527

License Status

INACTIVE

Business

First Name

LISSY J

Last Name

CHACKO

Business Name

LISSY J CHACKO

Original Issue Date

12/13/1991

Effective Date

12/13/1991

Expiration Date

05/31/1998

City

STONE MOUNTAIN

State

Zip

30087

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/27/2006