TRACE R SHOUP Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041457777

License Status

ACTIVE

Business

First Name

TRACE

Middle

Last Name

SHOUP

Business Name

TRACE R SHOUP

Original Issue Date

09/05/2017

Effective Date

06/11/2024

Expiration Date

05/31/2026

City

TINLEY PARK

State

Zip

60477

Ever Disciplined

LastModifiedDate

02/28/2026