SHANA L ROUSHIA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020063

License Status

INACTIVE

Business

First Name

SHANA

Middle

Last Name

ROUSHIA

Business Name

SHANA L ROUSHIA

Original Issue Date

09/18/2019

Effective Date

08/10/2022

Expiration Date

05/31/2024

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/10/2022