JACKIE SHOUFLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043033774

License Status

INACTIVE

Business

First Name

JACKIE

Last Name

SHOUFLER

Business Name

JACKIE SHOUFLER

Original Issue Date

01/21/1974

Effective Date

11/06/2000

Expiration Date

01/31/2001

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/15/2005