TIMOTHY R SHADWELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043067548

License Status

NOT RENEWED

Business

First Name

TIMOTHY R

Last Name

SHADWELL

Business Name

TIMOTHY R SHADWELL

Original Issue Date

01/03/1990

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

ARCOLA

State

Zip

61910

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/15/2005