SHIRLEY L PETTIFORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043071872

License Status

NOT RENEWED

Business

First Name

SHIRLEY L

Last Name

PETTIFORD

Business Name

SHIRLEY L PETTIFORD

Original Issue Date

06/18/1992

Effective Date

12/31/2008

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

03/10/2011