OLIVIA SHACKELFORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041105200

License Status

NOT RENEWED

Business

First Name

OLIVIA

Last Name

SHACKELFORD

Business Name

OLIVIA SHACKELFORD

Original Issue Date

12/18/1962

Effective Date

08/31/2022

Expiration Date

06/30/2024

City

MADISON

State

Zip

62060

County

MADISON

Ever Disciplined

LastModifiedDate

02/05/2025