LORETTA JANE SCISM MD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041307127

License Status

NOT RENEWED

Business

First Name

LORETTA

Middle

JANE

Last Name

SCISM

Suffix

Business Name

LORETTA JANE SCISM MD

Original Issue Date

12/03/1997

Effective Date

12/03/1997

Expiration Date

05/31/2006

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006