GRACE B CABALUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080946

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

Last Name

CABALUM

Business Name

GRACE B CABALUM

Original Issue Date

06/12/1997

Effective Date

02/22/1999

Expiration Date

01/31/1999

City

LAKE IN THE HILLS

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/21/2005