SHIRLEY CHISOLM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029537

License Status

INACTIVE

Business

First Name

SHIRLEY

Last Name

CHISOLM

Business Name

SHIRLEY CHISOLM

Original Issue Date

12/15/1971

Expiration Date

05/01/1982

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005