GAIL ANN SHACKELFORD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030651

License Status

INACTIVE

Business

First Name

GAIL ANN

Last Name

SHACKELFORD

Business Name

GAIL ANN SHACKELFORD

Original Issue Date

04/11/1972

Effective Date

01/07/2011

Expiration Date

01/31/2013

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

11/08/2012