SHANTE D. CHAMBLISS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019361

License Status

NOT RENEWED

Business

First Name

SHANTE

Middle

Last Name

CHAMBLISS

Business Name

SHANTE D. CHAMBLISS

Original Issue Date

04/26/2019

Effective Date

04/26/2019

Expiration Date

09/30/2020

City

EUCLID

State

Zip

44132

Ever Disciplined

LastModifiedDate

01/14/2021