MODENA SHIPP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017451

License Status

NOT RENEWED

Business

First Name

MODENA

Last Name

SHIPP

Business Name

MODENA SHIPP

Original Issue Date

12/19/1966

Expiration Date

01/31/1989

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005