CHALICE E SANBORN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043076219

License Status

NOT RENEWED

Business

First Name

CHALICE E

Last Name

SANBORN

Business Name

CHALICE E SANBORN

Original Issue Date

10/01/1994

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

COTTAGE HILLS

State

Zip

62018

County

MADISON

Ever Disciplined

LastModifiedDate

03/17/2009