ANGELA D SHIVLEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077740

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

SHIVLEY

Business Name

ANGELA D SHIVLEY

Original Issue Date

08/17/1995

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

DUQUOIN

State

Zip

62832

Ever Disciplined

LastModifiedDate

10/15/2005