SHELLY F BOTTALLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041294682

License Status

NOT RENEWED

Business

First Name

SHELLY F

Last Name

BOTTALLA

Business Name

SHELLY F BOTTALLA

Original Issue Date

01/13/1996

Effective Date

03/18/2014

Expiration Date

05/31/2016

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

07/11/2016