SANDRA RAE SHUMWAY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041115777

License Status

INACTIVE

Business

First Name

SANDRA RAE

Last Name

SHUMWAY

Business Name

SANDRA RAE SHUMWAY

Original Issue Date

12/15/1965

Effective Date

05/24/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/08/2012