SHANE HENRY STEVENS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019258

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

HENRY

Last Name

STEVENS

Business Name

SHANE HENRY STEVENS

Original Issue Date

04/09/2019

Effective Date

04/09/2019

Expiration Date

09/30/2020

City

LATROBE

State

Zip

15650

Ever Disciplined

LastModifiedDate

01/14/2021