ANITA SHEPARD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046464

License Status

INACTIVE

Business

First Name

ANITA

Last Name

SHEPARD

Business Name

ANITA SHEPARD

Original Issue Date

01/26/1979

Expiration Date

01/31/1987

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005