SHIRLEY ANN EIDE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021046

License Status

INACTIVE

Business

First Name

SHIRLEY ANN

Last Name

EIDE

Business Name

SHIRLEY ANN EIDE

Original Issue Date

12/07/1967

City

OGLESBY

State

Zip

61348

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/21/2005