ETHEL P SHACKELFORD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043026718

License Status

INACTIVE

Business

First Name

ETHEL P

Last Name

SHACKELFORD

Business Name

ETHEL P SHACKELFORD

Original Issue Date

04/13/1970

Effective Date

01/02/2019

Expiration Date

01/31/2021

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/08/2020