ATHRIOUS D WOMBER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010502

License Status

NOT RENEWED

Business

First Name

ATHRIOUS D

Last Name

WOMBER

Business Name

ATHRIOUS D WOMBER

Original Issue Date

04/02/1962

Effective Date

01/11/2005

Expiration Date

01/31/2007

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

03/16/2007