HOLLYN KIMBERLY SHACKELFORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041356853

License Status

NOT RENEWED

Business

First Name

HOLLYN

Middle

KIMBERLY

Last Name

SHACKELFORD

Business Name

HOLLYN KIMBERLY SHACKELFORD

Original Issue Date

10/26/2006

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

PHILADELPHIA

State

Zip

19107

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

07/27/2018

Case Number

2018004724

Action

Refuse To Renew

Discipline Start Date

07/20/2018

Discipline Reason

due to her Ohio license being suspended by the Ohio State Board of Nursing.