SHIRLEY R LANE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041063527

License Status

INACTIVE

Business

First Name

SHIRLEY R

Last Name

LANE

Business Name

SHIRLEY R LANE

Original Issue Date

02/08/1949

Effective Date

02/08/1949

Expiration Date

05/31/2006

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006