JACKIE L SHEPARD - Registered Nurse License in Illinois | # 043100654

JACKIE L SHEPARD

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100654

License Status

NOT RENEWED

Business

N

First Name

JACKIE

Middle

L

Last Name

SHEPARD

Business Name

JACKIE L SHEPARD

Original Issue Date

10/14/2005

Effective Date

01/28/2013

Expiration Date

01/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

03/09/2015