LOUISE H CHISM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085366

License Status

NOT RENEWED

Business

First Name

LOUISE

Middle

Last Name

CHISM

Business Name

LOUISE H CHISM

Original Issue Date

09/27/2000

Effective Date

01/23/2017

Expiration Date

01/31/2019

City

HETICK

State

Zip

62649

County

MACOUPIN

Ever Disciplined

LastModifiedDate

03/28/2019