SHIRLEY WILLARD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146368

License Status

INACTIVE

Business

First Name

SHIRLEY

Last Name

WILLARD

Business Name

SHIRLEY WILLARD

Original Issue Date

11/02/1972

Effective Date

04/11/2012

Expiration Date

05/31/2014

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/06/2014