CONCHITA B HALLAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104459

License Status

INACTIVE

Business

First Name

CONCHITA B

Last Name

HALLAM

Business Name

CONCHITA B HALLAM

Original Issue Date

11/30/1962

Effective Date

11/30/1962

Expiration Date

05/31/2000

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/27/2006