SHELBY J ETHEREDGE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300771

License Status

NOT RENEWED

Business

First Name

SHELBY J

Last Name

ETHEREDGE

Business Name

SHELBY J ETHEREDGE

Original Issue Date

10/26/1996

Effective Date

06/16/2008

Expiration Date

05/31/2010

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

08/16/2010