SHIRLEY A FOUREZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041079909

License Status

NOT RENEWED

Business

First Name

SHIRLEY A

Last Name

FOUREZ

Business Name

SHIRLEY A FOUREZ

Original Issue Date

01/04/1955

Effective Date

01/04/1955

Expiration Date

05/31/2006

City

POTOMAC

State

Zip

61865

County

VERMILION

Ever Disciplined

LastModifiedDate

10/09/2006