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*****70

License Status

NOT RENEWED

Business

First Name

GINGER

Middle

Last Name

SHULLANBERGER

Business Name

GINGER A SHULLANBERGER

Original Issue Date

07/26/2001

Effective Date

07/26/2001

Expiration Date

05/31/2004

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006