SHELLY L COLLOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043105872

License Status

INACTIVE

Business

First Name

SHELLY

Middle

Last Name

COLLOM

Business Name

SHELLY L COLLOM

Original Issue Date

06/23/2008

Effective Date

01/20/2009

Expiration Date

01/31/2011

City

GEORGETOWN

State

Zip

61846

County

VERMILION

Ever Disciplined

LastModifiedDate

11/03/2010