SHELBY LYNN KNICKERBOCKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043123131

License Status

NOT RENEWED

Business

First Name

SHELBY

Middle

LYNN

Last Name

KNICKERBOCKER

Business Name

SHELBY LYNN KNICKERBOCKER

Original Issue Date

09/20/2016

Effective Date

01/31/2019

Expiration Date

01/31/2021

City

OGLESBY

State

Zip

61348

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/11/2021