CHANEL THERESA SMITH-WILLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041318765

License Status

NOT RENEWED

Business

First Name

CHANEL

Middle

THERESA

Last Name

SMITH-WILLIS

Business Name

CHANEL THERESA SMITH-WILLIS

Original Issue Date

03/17/2000

Effective Date

03/17/2000

Expiration Date

05/31/2006

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006