License holder summary

JILL R. SHACKFORD is a Nursing - Licensed Practical Nurse licensed to practice in Maine. The address on file for JILL R. SHACKFORD is 5 FAIRVIEW AVE, DOVER, NH 03820-3511. This licensed professional license is not current. The license was granted 08/29/1975 and expired on 11/28/1999.

Maine

Office of Professional and Occupational Regulation

JILL R. SHACKFORD
Nursing - Licensed Practical Nurse
License number
LPN4563
Date granted
08/29/1975
Date expires
11/28/1999
Class
Nursing - Licensed Practical Nurse
Status
Failed to Renew
Address
5 FAIRVIEW AVE, DOVER, NH 03820-3511
mainelicensing.org
ID 21308416
LAST UPDATED 2024-04-07 10:26:07 UTC

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