CAROLYN M CHASTAIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104391

License Status

NOT RENEWED

Business

First Name

CAROLYN M

Last Name

CHASTAIN

Business Name

CAROLYN M CHASTAIN

Original Issue Date

11/09/1962

Effective Date

11/09/1962

Expiration Date

05/31/1998

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006