CHARLES G SHIVELY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041043805

License Status

INACTIVE

Business

First Name

CHARLES G

Last Name

SHIVELY

Business Name

CHARLES G SHIVELY

Original Issue Date

05/02/1942

Effective Date

05/02/1942

Expiration Date

05/31/1998

City

ST ELMO

State

Zip

62458

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

09/27/2006