SHANNON R DOUGHMAN - Registered Nurse License in Indiana | # 043084459

SHANNON R DOUGHMAN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084459

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

R

Last Name

DOUGHMAN

Business Name

SHANNON R DOUGHMAN

Original Issue Date

12/15/1999

Effective Date

03/04/2005

Expiration Date

01/31/2005

State

IN

Ever Disciplined

N

LastModifiedDate

10/15/2005