SHELLIE J LACKEY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041228644

License Status

INACTIVE

Business

First Name

SHELLIE J

Last Name

LACKEY

Business Name

SHELLIE J LACKEY

Original Issue Date

05/03/1985

Effective Date

07/09/2010

Expiration Date

05/31/2012

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

03/08/2012