SHELBY L RANDOLPH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041477972

License Status

NOT RENEWED

Business

First Name

SHELBY

Middle

Last Name

RANDOLPH

Business Name

SHELBY L RANDOLPH

Original Issue Date

04/09/2019

Effective Date

09/22/2020

Expiration Date

08/31/2022

City

SOUTH HOLLAND

State

Zip

60473

Ever Disciplined

LastModifiedDate

10/14/2022