SHIRLEY A HUMPHREY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089515

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

Last Name

HUMPHREY

Business Name

SHIRLEY A HUMPHREY

Original Issue Date

01/23/2004

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

12/13/2018

Case Number

2017004952

Action

Refuse To Renew

Discipline Start Date

12/06/2018

Discipline Reason

due to a sister-state discipline in the state of Indiana.