SHELLY L COLLOM - Registered Nurse License in Illinois | # 043105872

SHELLY L COLLOM

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043105872

License Status

INACTIVE

Business

N

First Name

SHELLY

Middle

L

Last Name

COLLOM

Business Name

SHELLY L COLLOM

Original Issue Date

06/23/2008

Effective Date

01/20/2009

Expiration Date

01/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

11/03/2010