HENRIETTA STATAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032939

License Status

NOT RENEWED

Business

First Name

HENRIETTA

Last Name

STATAM

Business Name

HENRIETTA STATAM

Original Issue Date

04/16/1973

Expiration Date

01/31/1995

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005