DAVID D SHACKELFORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041293554

License Status

NOT RENEWED

Business

First Name

DAVID D

Last Name

SHACKELFORD

Business Name

DAVID D SHACKELFORD

Original Issue Date

11/02/1995

Effective Date

11/02/1995

Expiration Date

05/31/2000

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006