HAROLD FREDERICK SHAMBLIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041253856

License Status

NOT RENEWED

Business

First Name

HAROLD FREDERICK

Last Name

SHAMBLIN

Business Name

HAROLD FREDERICK SHAMBLIN

Original Issue Date

09/21/1989

Effective Date

04/03/2014

Expiration Date

05/31/2016

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/11/2016