VIDA D SHOTTS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043055195

License Status

INACTIVE

Business

First Name

VIDA D

Last Name

SHOTTS

Business Name

VIDA D SHOTTS

Original Issue Date

02/23/1983

Effective Date

12/15/2004

Expiration Date

01/31/2005

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/15/2005