BROCK ALLAN SHIRLEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043119505

License Status

NOT RENEWED

Business

First Name

BROCK

Middle

ALLAN

Last Name

SHIRLEY

Business Name

BROCK ALLAN SHIRLEY

Original Issue Date

09/16/2014

Effective Date

12/01/2014

Expiration Date

01/31/2017

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/27/2017