CHANEL C LATHAM - Registered Nurse License in Illinois | # 043086865

CHANEL C LATHAM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086865

License Status

NOT RENEWED

Business

N

First Name

CHANEL

Middle

C

Last Name

LATHAM

Business Name

CHANEL C LATHAM

Original Issue Date

11/29/2001

Effective Date

12/01/2004

Expiration Date

01/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

03/16/2007