SHIRLEY A LANGE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041117630

License Status

INACTIVE

Business

First Name

SHIRLEY A

Last Name

LANGE

Business Name

SHIRLEY A LANGE

Original Issue Date

06/17/1966

Effective Date

06/17/1966

Expiration Date

05/31/1988

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/27/2006