HENRIETTA STATAM - Registered Nurse License in Illinois | # 043032939

HENRIETTA STATAM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032939

License Status

NOT RENEWED

Business

N

First Name

HENRIETTA

Last Name

STATAM

Business Name

HENRIETTA STATAM

Original Issue Date

04/16/1973

Expiration Date

01/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005