JENNIFER E SHACKLES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043111551

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

SHACKLES

Business Name

JENNIFER E SHACKLES

Original Issue Date

10/26/2010

Effective Date

01/03/2011

Expiration Date

01/31/2013

City

VILLA RIDGE

State

Zip

62996

County

PULASKI

Ever Disciplined

LastModifiedDate

03/20/2013