GINGER A SHULLANBERGER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

NOT RENEWED

Business

First Name

GINGER

Middle

Last Name

SHULLANBERGER

Business Name

GINGER A SHULLANBERGER

Original Issue Date

02/04/2004

Effective Date

05/05/2014

Expiration Date

05/31/2016

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2016