SANDRA A CLISHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047565

License Status

INACTIVE

Business

First Name

SANDRA A

Last Name

CLISHAM

Business Name

SANDRA A CLISHAM

Original Issue Date

10/19/1979

Effective Date

11/18/2008

Expiration Date

01/31/2011

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/03/2010