MARIELLEN SHEPHERD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041103487

License Status

INACTIVE

Business

First Name

MARIELLEN

Last Name

SHEPHERD

Business Name

MARIELLEN SHEPHERD

Original Issue Date

08/28/1962

Effective Date

08/28/1962

City

BALLSTON LAKE

State

Zip

12019

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/27/2006