SHELLY A HIGGINBOTHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043066947

License Status

NOT RENEWED

Business

First Name

SHELLY A

Last Name

HIGGINBOTHAM

Business Name

SHELLY A HIGGINBOTHAM

Original Issue Date

03/14/1989

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

MARTINSVILLE

State

Zip

62442

County

CLARK

Ever Disciplined

LastModifiedDate

10/15/2005