HOLLY A SHIELDS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041337892

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

SHIELDS

Business Name

HOLLY A SHIELDS

Original Issue Date

10/14/2003

Effective Date

10/14/2003

Expiration Date

05/31/2006

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/09/2006