DAVID D SHACKELFORD - Registered Nurse License in Illinois | # 041293554

DAVID D SHACKELFORD

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041293554

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006