SALLY SHAW STOTHOFF Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026166

License Status

NOT RENEWED

Business

First Name

SALLY

Middle

SHAW

Last Name

STOTHOFF

Business Name

SALLY SHAW STOTHOFF

Original Issue Date

10/14/2022

Effective Date

10/14/2022

Expiration Date

06/30/2024

City

LEWISTON

State

Zip

04240

Ever Disciplined

LastModifiedDate

02/05/2025