SHIRLEY A CANNON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043014053

License Status

NOT RENEWED

Business

First Name

SHIRLEY A

Last Name

CANNON

Business Name

SHIRLEY A CANNON

Original Issue Date

11/23/1965

Expiration Date

01/31/1987

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005