Charles G Shively
InactiveIllinois license 041043805
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041043805
- Status
- Inactive
- First issued
- May 2, 1942
- Expired
- May 31, 1998
- License holder
- Charles G Shively
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 05/02/1942
Contact
St Elmo, IL 62458
Effingham County