SHIRLEY J GANSCHOW Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043022996

License Status

INACTIVE

Business

First Name

SHIRLEY J

Last Name

GANSCHOW

Business Name

SHIRLEY J GANSCHOW

Original Issue Date

04/01/1968

Effective Date

10/26/2000

Expiration Date

01/31/2001

City

BARTONVILLE

State

Zip

61607

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/15/2005