KEITH A CHISAMORE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041322960

License Status

ACTIVE

Business

First Name

KEITH

Middle

Last Name

CHISAMORE

Business Name

KEITH A CHISAMORE

Original Issue Date

12/18/2000

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

NEW HAVEN

State

Zip

63068

County

MISSOURI

Ever Disciplined

LastModifiedDate

02/28/2026