HEATHER ANN SHANE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044147

License Status

NOT RENEWED

Business

First Name

HEATHER ANN

Last Name

SHANE

Business Name

HEATHER ANN SHANE

Original Issue Date

04/11/1978

Expiration Date

01/31/1987

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005