SHIRLEY DIANE MCINTOSH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043027033

License Status

NOT RENEWED

Business

First Name

SHIRLEY DIANE

Last Name

MCINTOSH

Business Name

SHIRLEY DIANE MCINTOSH

Original Issue Date

07/28/1970

City

E. ST. LOUIS

State

Zip

62204

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005