CARMELITA COFFMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021741

License Status

NOT RENEWED

Business

First Name

CARMELITA

Last Name

COFFMAN

Business Name

CARMELITA COFFMAN

Original Issue Date

12/22/1967

Expiration Date

01/31/1989

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005