NATASHA C SHAFER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

INACTIVE

Business

First Name

NATASHA

Middle

Last Name

SHAFER

Business Name

NATASHA C SHAFER

Original Issue Date

12/05/2012

Effective Date

06/01/2018

Expiration Date

09/30/2020

City

TAMMS

State

Zip

62988

County

ALEXANDER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2018