AVAH SHELBY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102402

License Status

INACTIVE

Business

First Name

AVAH

Last Name

SHELBY

Business Name

AVAH SHELBY

Original Issue Date

04/02/1962

Effective Date

03/19/2010

Expiration Date

05/31/2012

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/08/2012