JUDITH M SHALLAT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041122163

License Status

INACTIVE

Business

First Name

JUDITH M

Last Name

SHALLAT

Business Name

JUDITH M SHALLAT

Original Issue Date

08/21/1967

Effective Date

08/21/1967

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006