LEE A SHAFTER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041125642

License Status

NOT RENEWED

Business

First Name

LEE A

Last Name

SHAFTER

Business Name

LEE A SHAFTER

Original Issue Date

04/24/1968

Effective Date

04/16/2012

Expiration Date

05/31/2014

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/03/2014