BETTY L SHOUP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042718

License Status

NOT RENEWED

Business

First Name

BETTY L

Last Name

SHOUP

Business Name

BETTY L SHOUP

Original Issue Date

02/14/1978

Expiration Date

01/31/1995

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005