KELLY L SHEPPARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043108999

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

SHEPPARD

Business Name

KELLY L SHEPPARD

Original Issue Date

09/29/2009

Effective Date

09/29/2009

Expiration Date

01/31/2011

City

MARK

State

Zip

61340

Ever Disciplined

LastModifiedDate

03/10/2011