MAMIE SHEPARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016758

License Status

NOT RENEWED

Business

First Name

MAMIE

Last Name

SHEPARD

Business Name

MAMIE SHEPARD

Original Issue Date

10/06/1966

Expiration Date

01/31/1999

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

05/27/2005