SHIRLEY ANN BLICKENSDERFER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041208067

License Status

INACTIVE

Business

First Name

SHIRLEY ANN

Last Name

BLICKENSDERFER

Business Name

SHIRLEY ANN BLICKENSDERFER

Original Issue Date

01/13/1982

Effective Date

03/21/2012

Expiration Date

05/31/2014

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

03/06/2014