ANTHONY BENJAMIN SHIPOW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041346531

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

BENJAMIN

Last Name

SHIPOW

Business Name

ANTHONY BENJAMIN SHIPOW

Original Issue Date

06/29/2005

Effective Date

03/12/2010

Expiration Date

05/31/2012

City

HAINESVILLE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

07/10/2012