SHIRLEY ANN BLICKENSDERFER - Registered Nurse License in Illinois | # 041208067

SHIRLEY ANN BLICKENSDERFER

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041208067

License Status

INACTIVE

Business

N

First Name

SHIRLEY ANN

Last Name

BLICKENSDERFER

Business Name

SHIRLEY ANN BLICKENSDERFER

Original Issue Date

01/13/1982

Effective Date

03/21/2012

Expiration Date

05/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

03/06/2014