JOSEPHINE W CHISOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043061939

License Status

INACTIVE

Business

First Name

JOSEPHINE W

Last Name

CHISOM

Business Name

JOSEPHINE W CHISOM

Original Issue Date

12/09/1985

Expiration Date

01/31/1987

City

GARY

State

Zip

46404

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005