SHASTA NICOLE WARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041476834

License Status

NOT RENEWED

Business

First Name

SHASTA

Middle

NICOLE

Last Name

WARD

Business Name

SHASTA NICOLE WARD

Original Issue Date

03/13/2019

Effective Date

03/13/2019

Expiration Date

09/30/2020

City

HARTFORD

State

Zip

36344

Ever Disciplined

LastModifiedDate

01/14/2021