SHELLEY GALLIVAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005987

License Status

NOT RENEWED

Business

First Name

SHELLEY

Last Name

GALLIVAN

Business Name

SHELLEY GALLIVAN

Original Issue Date

03/30/2006

Effective Date

10/01/2010

Expiration Date

05/31/2012

City

SAN FRANCISCO

State

Zip

94110

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

07/10/2012