MODENA SHIPP - Registered Nurse License in Illinois | # 043017451

MODENA SHIPP

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017451

License Status

NOT RENEWED

Business

N

First Name

MODENA

Last Name

SHIPP

Business Name

MODENA SHIPP

Original Issue Date

12/19/1966

Expiration Date

01/31/1989

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005