MALIA LYNN SHUPPERT - Registered Nurse License in Indiana | # 041345373

MALIA LYNN SHUPPERT

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041345373

License Status

NOT RENEWED

Business

N

First Name

MALIA

Middle

LYNN

Last Name

SHUPPERT

Business Name

MALIA LYNN SHUPPERT

Original Issue Date

03/23/2005

Effective Date

03/23/2005

Expiration Date

05/31/2006

State

IN

Ever Disciplined

N

LastModifiedDate

10/09/2006