CHARLES CLOYD COLLERA COLLANTES Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043131409

License Status

ACTIVE

Business

First Name

CHARLES CLOYD

Middle

COLLERA

Last Name

COLLANTES

Business Name

CHARLES CLOYD COLLERA COLLANTES

Original Issue Date

01/12/2022

Effective Date

01/26/2025

Expiration Date

01/31/2027

City

PARK CITY

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

01/26/2025