BRENDA LEE SHANK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036057

License Status

INACTIVE

Business

First Name

BRENDA LEE

Last Name

SHANK

Business Name

BRENDA LEE SHANK

Original Issue Date

01/30/1975

Effective Date

12/22/2004

Expiration Date

01/31/2005

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/15/2005