KATHY J SHEPPARD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043039561

License Status

INACTIVE

Business

First Name

KATHY J

Last Name

SHEPPARD

Business Name

KATHY J SHEPPARD

Original Issue Date

06/11/1976

Effective Date

01/05/2011

Expiration Date

01/31/2013

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

11/08/2012