HAROLD FREDERICK SHAMBLIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031752

License Status

NOT RENEWED

Business

First Name

HAROLD FREDERICK

Last Name

SHAMBLIN

Business Name

HAROLD FREDERICK SHAMBLIN

Original Issue Date

11/14/1972

Effective Date

01/23/2017

Expiration Date

01/31/2019

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/28/2019