THEDA B SHEPHERD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077849

License Status

NOT RENEWED

Business

First Name

THEDA B

Last Name

SHEPHERD

Business Name

THEDA B SHEPHERD

Original Issue Date

09/06/1995

Effective Date

07/11/2011

Expiration Date

01/31/2013

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

03/20/2013

Case Number

2002007001

Action

Suspension

Discipline Start Date

03/21/2003

Discipline End Date

10/22/2003

Discipline Reason

Allegedly verbally assaulted a resident of the nursing home where she worked and arrived at work inebriated.