PRENTISS CHAUNCRY ALFRED Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041150505

License Status

INACTIVE

Business

First Name

PRENTISS

Middle

CHAUNCRY

Last Name

ALFRED

Business Name

PRENTISS CHAUNCRY ALFRED

Original Issue Date

10/03/1973

Effective Date

04/11/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

03/06/2014