TILITHA S SHAWGO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

NOT RENEWED

Business

First Name

TILITHA

Middle

Last Name

SHAWGO

Business Name

TILITHA S SHAWGO

Original Issue Date

06/26/2001

Effective Date

03/19/2014

Expiration Date

05/31/2016

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2016