ETHEL CHALK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028335

License Status

INACTIVE

Business

First Name

ETHEL

Last Name

CHALK

Business Name

ETHEL CHALK

Original Issue Date

04/28/1971

City

SYRACUSE

State

Zip

46567

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005