SHANNON L DEPTULA - Registered Nurse License in Arizona | # 041332633

SHANNON L DEPTULA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041332633

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

L

Last Name

DEPTULA

Business Name

SHANNON L DEPTULA

Original Issue Date

09/27/2002

Effective Date

09/27/2002

Expiration Date

05/31/2004

State

AZ

Ever Disciplined

Y

LastModifiedDate

10/02/2007

Case Number

2006001565

Action

Suspension

Discipline Start Date

10/02/2007

Discipline Reason

after voluntarily surrendered her Arizona registered nurse license and then failed to report the surrender to this Department.