SHIRLEY D TISH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041271819

License Status

NOT RENEWED

Business

First Name

SHIRLEY D

Last Name

TISH

Business Name

SHIRLEY D TISH

Original Issue Date

10/28/1992

Effective Date

10/28/1992

Expiration Date

05/31/1994

City

BLUE MOUND

State

Zip

62513

County

MACON

Ever Disciplined

LastModifiedDate

09/27/2006