ELLEN E SHANAFELT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041269878

License Status

NOT RENEWED

Business

First Name

ELLEN E

Last Name

SHANAFELT

Business Name

ELLEN E SHANAFELT

Original Issue Date

09/28/1992

Effective Date

04/02/2012

Expiration Date

05/31/2014

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

07/03/2014