JACKIE L SHEPARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100654

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

Last Name

SHEPARD

Business Name

JACKIE L SHEPARD

Original Issue Date

10/14/2005

Effective Date

01/28/2013

Expiration Date

01/31/2015

City

NORRIS CITY

State

Zip

62869

County

WHITE

Ever Disciplined

LastModifiedDate

03/09/2015