GROVER A SHELTON III Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021056

License Status

NOT RENEWED

Business

First Name

GROVER

Middle

Last Name

SHELTON III

Business Name

GROVER A SHELTON III

Original Issue Date

03/18/2020

Effective Date

03/18/2020

Expiration Date

08/31/2022

City

INDIANAPOLIS

State

Zip

46220

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2022