PATRICIA A CHISM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043024486

License Status

INACTIVE

Business

First Name

PATRICIA A

Last Name

CHISM

Business Name

PATRICIA A CHISM

Original Issue Date

01/30/1969

Effective Date

11/18/2004

Expiration Date

01/31/2005

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/15/2005