SHIRLEY VIVIAN HEITZLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041335070

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

VIVIAN

Last Name

HEITZLER

Business Name

SHIRLEY VIVIAN HEITZLER

Original Issue Date

05/09/2003

Effective Date

04/27/2020

Expiration Date

08/31/2022

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

10/14/2022