SHANNON LEE LUCZAK - Registered Nurse License in Indiana | # 041383831

SHANNON LEE LUCZAK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041383831

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

LEE

Last Name

LUCZAK

Business Name

SHANNON LEE LUCZAK

Original Issue Date

05/13/2010

Effective Date

04/20/2016

Expiration Date

05/31/2018

State

IN

Ever Disciplined

N

LastModifiedDate

07/19/2018