SHIRLEY A AMBROSIUS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043062709

License Status

NOT RENEWED

Business

First Name

SHIRLEY A

Last Name

AMBROSIUS

Business Name

SHIRLEY A AMBROSIUS

Original Issue Date

02/18/1986

Effective Date

12/29/2010

Expiration Date

01/31/2013

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

03/20/2013