SHIRLEY CHISM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043033000

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Last Name

CHISM

Business Name

SHIRLEY CHISM

Original Issue Date

04/16/1973

City

E ST LOUIS

State

Zip

62205

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005