MARY R CHAMBLISS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043073950

License Status

NOT RENEWED

Business

First Name

MARY R

Last Name

CHAMBLISS

Business Name

MARY R CHAMBLISS

Original Issue Date

06/30/1993

Effective Date

12/08/2011

Expiration Date

01/31/2013

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

08/08/2019