CHARLIE MAE ISOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016663

License Status

INACTIVE

Business

First Name

CHARLIE MAE

Last Name

ISOM

Business Name

CHARLIE MAE ISOM

Original Issue Date

10/06/1966

Effective Date

01/07/1999

Expiration Date

01/31/2001

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005