Shirley Ann Blickensderfer
InactiveIllinois license 041208067
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041208067
- Status
- Inactive
- First issued
- January 13, 1982
- Expired
- May 31, 2014
- License holder
- Shirley Ann Blickensderfer
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 03/21/2012
Contact
Decatur, IL 62522
Macon County