KATHLEEN A SHAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043066957

License Status

INACTIVE

Business

First Name

KATHLEEN A

Last Name

SHAKE

Business Name

KATHLEEN A SHAKE

Original Issue Date

03/10/1989

Effective Date

02/01/2011

Expiration Date

01/31/2013

City

GEORGETOWN

State

Zip

61846

County

VERMILION

Ever Disciplined

LastModifiedDate

11/08/2012