CAROL ROGENE H SHELLY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041164016

License Status

NOT RENEWED

Business

First Name

CAROL ROGENE H

Last Name

SHELLY

Business Name

CAROL ROGENE H SHELLY

Original Issue Date

10/24/1975

Effective Date

03/26/2018

Expiration Date

09/30/2020

City

FORRESTON

State

Zip

61030

County

OGLE

Ever Disciplined

LastModifiedDate

01/14/2021