SANDRA ALICE SHACKELFORD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019911

License Status

INACTIVE

Business

First Name

SANDRA ALICE

Last Name

SHACKELFORD

Business Name

SANDRA ALICE SHACKELFORD

Original Issue Date

06/22/1967

Expiration Date

05/01/1982

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005