TILITHA S SHAWGO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001606

License Status

NOT RENEWED

Business

First Name

TILITHA

Middle

Last Name

SHAWGO

Business Name

TILITHA S SHAWGO

Original Issue Date

06/22/2001

Effective Date

03/18/2014

Expiration Date

05/31/2016

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2016