PERE D SHORT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043069138

License Status

NOT RENEWED

Business

First Name

PERE D

Last Name

SHORT

Business Name

PERE D SHORT

Original Issue Date

12/21/1990

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005