SHELBY W MILLS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005194

License Status

NOT RENEWED

Business

First Name

SHELBY

Middle

Last Name

MILLS

Business Name

SHELBY W MILLS

Original Issue Date

07/12/2004

Effective Date

08/18/2010

Expiration Date

05/31/2012

City

SHILOH

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/10/2012