SHELLY J VAN DEN BOGART Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084074

License Status

NOT RENEWED

Business

First Name

SHELLY

Middle

Last Name

VAN DEN BOGART

Business Name

SHELLY J VAN DEN BOGART

Original Issue Date

10/01/1999

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

10/21/2005