HENRIETTA HOLT SHIRLEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041186

License Status

NOT RENEWED

Business

First Name

HENRIETTA

Last Name

HOLT SHIRLEY

Business Name

HENRIETTA HOLT SHIRLEY

Original Issue Date

02/02/1977

Expiration Date

01/31/1989

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005