HAZEL M SHEPHERD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012449

License Status

NOT RENEWED

Business

First Name

HAZEL M

Last Name

SHEPHERD

Business Name

HAZEL M SHEPHERD

Original Issue Date

06/29/1964

Expiration Date

01/31/1985

City

SHIPSHEWANA

State

Zip

46565

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005