PEARL E SHAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013702

License Status

INACTIVE

Business

First Name

PEARL E

Last Name

SHAKE

Business Name

PEARL E SHAKE

Original Issue Date

06/25/1965

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005