SHASTA RAE ZILLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085460

License Status

NOT RENEWED

Business

First Name

SHASTA

Middle

RAE

Last Name

ZILLER

Business Name

SHASTA RAE ZILLER

Original Issue Date

10/11/2000

Effective Date

12/22/2004

Expiration Date

01/31/2007

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/16/2007