MAMIE SHEPARD - Registered Nurse License in Illinois | # 043016758

MAMIE SHEPARD

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016758

License Status

NOT RENEWED

Business

N

First Name

MAMIE

Last Name

SHEPARD

Business Name

MAMIE SHEPARD

Original Issue Date

10/06/1966

Expiration Date

01/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

05/27/2005