ROSALIE M SHANNON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019593

License Status

INACTIVE

Business

First Name

ROSALIE M

Last Name

SHANNON

Business Name

ROSALIE M SHANNON

Original Issue Date

06/06/1967

Effective Date

11/18/2004

Expiration Date

01/31/2005

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/15/2005