SHIRLEY SHANER JACKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041186398

License Status

NOT RENEWED

Business

First Name

SHIRLEY SHANER

Last Name

JACKSON

Business Name

SHIRLEY SHANER JACKSON

Original Issue Date

12/12/1978

Effective Date

12/12/1978

Expiration Date

05/31/2002

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006