SHANNON L DEPTULA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041332633

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

DEPTULA

Business Name

SHANNON L DEPTULA

Original Issue Date

09/27/2002

Effective Date

09/27/2002

Expiration Date

05/31/2004

City

MESA

State

Zip

85206

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/02/2007

Case Number

2006001565

Action

Suspension

Discipline Start Date

10/02/2007

Discipline Reason

after voluntarily surrendered her Arizona registered nurse license and then failed to report the surrender to this Department.