JEREMIAH D SHOOT - Registered Nurse License in Illinois | # 043081499

JEREMIAH D SHOOT

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081499

License Status

NOT RENEWED

Business

N

First Name

JEREMIAH

Middle

D

Last Name

SHOOT

Business Name

JEREMIAH D SHOOT

Original Issue Date

10/23/1997

Effective Date

01/04/2005

Expiration Date

01/31/2007

State

IL

Ever Disciplined

Y

LastModifiedDate

03/16/2007