SHANNON K MALE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085713

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

MALE

Business Name

SHANNON K MALE

Original Issue Date

12/08/2000

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

COAL CITY

State

Zip

60416

County

GRUNDY

Ever Disciplined

LastModifiedDate

10/15/2005