JOHANNA LESLEE VAN SHELTON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036900

License Status

NOT RENEWED

Business

First Name

JOHANNA LESLEE

Last Name

VAN SHELTON

Business Name

JOHANNA LESLEE VAN SHELTON

Original Issue Date

02/13/1975

Expiration Date

01/31/1987

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005