SHIRLEY J VANDIVER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041252997

License Status

INACTIVE

Business

First Name

SHIRLEY J

Last Name

VANDIVER

Business Name

SHIRLEY J VANDIVER

Original Issue Date

06/27/1989

Effective Date

06/02/2014

Expiration Date

05/31/2016

City

FAIRMOUNT

State

Zip

61841

County

VERMILION

Ever Disciplined

LastModifiedDate

03/16/2016