MILDRED ELAINE SHAFER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041147469

License Status

NOT RENEWED

Business

First Name

MILDRED

Middle

ELAINE

Last Name

SHAFER

Business Name

MILDRED ELAINE SHAFER

Original Issue Date

12/14/1972

Effective Date

05/29/2022

Expiration Date

06/30/2024

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

02/05/2025