SHIRLEY J VANDIVER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043053170

License Status

NOT RENEWED

Business

First Name

SHIRLEY J

Last Name

VANDIVER

Business Name

SHIRLEY J VANDIVER

Original Issue Date

01/13/1982

Expiration Date

01/31/1991

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005