SHIRLEY ANN PORT WILSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041174431

License Status

NOT RENEWED

Business

First Name

SHIRLEY ANN PORT

Last Name

WILSON

Business Name

SHIRLEY ANN PORT WILSON

Original Issue Date

08/05/1977

Effective Date

08/05/1977

Expiration Date

05/31/2004

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006