TIFFANY A SHELLEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088552

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

SHELLEY

Business Name

TIFFANY A SHELLEY

Original Issue Date

06/23/2003

Effective Date

01/14/2011

Expiration Date

01/31/2013

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

03/20/2013