SANDRA ALICE SHACKELFORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041158878

License Status

NOT RENEWED

Business

First Name

SANDRA ALICE

Last Name

SHACKELFORD

Business Name

SANDRA ALICE SHACKELFORD

Original Issue Date

12/12/1974

Effective Date

03/18/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016