SHASTA R THOMPSON Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041444785

License Status

ACTIVE

Business

First Name

SHASTA

Middle

Last Name

THOMPSON

Business Name

SHASTA R THOMPSON

Original Issue Date

08/05/2016

Effective Date

04/08/2024

Expiration Date

05/31/2026

City

DANVERS

State

Zip

61732

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/01/2026