EDWARD L SHADE JR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043063641

License Status

NOT RENEWED

Business

First Name

EDWARD L

Last Name

SHADE JR

Business Name

EDWARD L SHADE JR

Original Issue Date

01/17/1987

Effective Date

01/21/2015

Expiration Date

01/31/2017

City

ROODHOUSE

State

Zip

62082

County

GREENE

Ever Disciplined

LastModifiedDate

03/27/2017