CHARLES CLIFFORD SMALL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041323943

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

CLIFFORD

Last Name

SMALL

Business Name

CHARLES CLIFFORD SMALL

Original Issue Date

03/30/2001

Effective Date

03/30/2001

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/05/2011

Case Number

2011005261

Action

Refuse To Renew

Discipline Start Date

10/05/2011

Discipline Reason

due to a sister-state discipline.