TIMOTHY SHANE SANFORD Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041556488

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

SHANE

Last Name

SANFORD

Business Name

TIMOTHY SHANE SANFORD

Original Issue Date

12/06/2023

Effective Date

04/19/2024

Expiration Date

05/31/2026

City

JACKSONVILLE

State

Zip

36265

Ever Disciplined

LastModifiedDate

03/01/2026