KELLY J SHAFFER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089698

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

SHAFFER

Business Name

KELLY J SHAFFER

Original Issue Date

03/23/2004

Effective Date

11/17/2008

Expiration Date

01/31/2011

City

ATLANTA

State

Zip

61723

County

LOGAN

Ever Disciplined

LastModifiedDate

03/10/2011