Virginia
Department of Professional and Occupational Regulation
SHELBY J FOREBACK
Health Professions - Licensed Practical Nurse
License number
0002025018
Date granted
05/22/1978
Date expires
07/31/2001
Class
Health Professions - Licensed Practical Nurse
Status
Suspended
Address
PURCELLVILLE, VA 22132
virginialicensing.org
ID 33696621
LAST UPDATED 2024-01-08 09:34:12 UTC
LAST UPDATED 2024-01-08 09:34:12 UTC
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