CONNIE L CHISM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065283

License Status

INACTIVE

Business

First Name

CONNIE L

Last Name

CHISM

Business Name

CONNIE L CHISM

Original Issue Date

12/15/1987

Effective Date

12/29/2000

Expiration Date

01/31/2001

City

ST. PETERS

State

Zip

63376

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/15/2005