MARY L SHADE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041143066

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

SHADE

Business Name

MARY L SHADE

Original Issue Date

02/14/1972

Effective Date

02/14/1972

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/27/2006