SHELBY J ETHEREDGE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043043713

License Status

INACTIVE

Business

First Name

SHELBY J

Last Name

ETHEREDGE

Business Name

SHELBY J ETHEREDGE

Original Issue Date

02/14/1978

Expiration Date

01/31/1991

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

10/21/2005