SAMANTHA JAE SHORE - Advanced Practice Nurse License in Indiana | # 209033982

SAMANTHA JAE SHORE

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209033982

License Status

ACTIVE

Business

N

First Name

SAMANTHA

Middle

JAE

Last Name

SHORE

Business Name

SAMANTHA JAE SHORE

Original Issue Date

11/16/2025

Effective Date

11/16/2025

Expiration Date

05/31/2026

State

IN

Ever Disciplined

N

LastModifiedDate

03/02/2026