GARY BRUCE SHORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081465

License Status

NOT RENEWED

Business

First Name

GARY

Middle

BRUCE

Last Name

SHORE

Business Name

GARY BRUCE SHORE

Original Issue Date

10/22/1997

Effective Date

12/02/2008

Expiration Date

01/31/2011

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/10/2011

Case Number

2002009819

Action

Probation

Discipline Start Date

11/26/2003

Discipline End Date

03/03/2008

Discipline Reason

Restored and placed on indefinite probation.