SHELBY J FOREBACK
Health Professions - Licensed Practical Nurse
Virginia 0002025018 Suspended
This Virginia license was held by SHELBY J FOREBACK. The license is no longer active. It was granted on 05/22/1978 and expired on 07/31/2001
LICENSE DETAILS
- License Number: 0002025018
- Category: Licensed Practical Nurse
- Status: Suspended
- Date Granted: 05/22/1978 (almost 47 years ago)
- Expiry Date: 07/31/2001 (almost 24 years ago)
LOCATIONS
A Address
PURCELLVILLE, VA 22132