SHELLEY M KENNICUTT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070384

License Status

NOT RENEWED

Business

First Name

SHELLEY

Middle

Last Name

KENNICUTT

Business Name

SHELLEY M KENNICUTT

Original Issue Date

08/08/1991

Effective Date

01/28/2021

Expiration Date

01/31/2023

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

03/31/2023