GAY M CHISUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041137940

License Status

NOT RENEWED

Business

First Name

GAY M

Last Name

CHISUM

Business Name

GAY M CHISUM

Original Issue Date

11/24/1970

Effective Date

05/28/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016