ROGER DWAYNE SHOCKEY - Advanced Practice Nurse License in Tennessee | # 209026080

ROGER DWAYNE SHOCKEY

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026080

License Status

NOT RENEWED

Business

N

First Name

ROGER

Middle

DWAYNE

Last Name

SHOCKEY

Business Name

ROGER DWAYNE SHOCKEY

Original Issue Date

09/28/2022

Effective Date

09/28/2022

Expiration Date

06/30/2024

State

TN

Ever Disciplined

N

LastModifiedDate

02/05/2025