SHANISE M JORDAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080015

License Status

NOT RENEWED

Business

First Name

SHANISE M

Last Name

JORDAN

Business Name

SHANISE M JORDAN

Original Issue Date

10/29/1996

Expiration Date

01/31/1999

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005