JENNIFER J SHAFER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043091059

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

SHAFER

Business Name

JENNIFER J SHAFER

Original Issue Date

02/16/2005

Effective Date

01/30/2019

Expiration Date

01/31/2021

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/11/2021