SHANTEZ C BASKIN - Registered Nurse License in Indiana | # 043128647

SHANTEZ C BASKIN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043128647

License Status

NOT RENEWED

Business

N

First Name

SHANTEZ

Middle

C

Last Name

BASKIN

Business Name

SHANTEZ C BASKIN

Original Issue Date

03/17/2020

Effective Date

01/25/2021

Expiration Date

01/31/2023

State

IN

Ever Disciplined

N

LastModifiedDate

03/31/2023