COLLEEN SUSANN SHUPE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043056360

License Status

INACTIVE

Business

First Name

COLLEEN SUSANN

Last Name

SHUPE

Business Name

COLLEEN SUSANN SHUPE

Original Issue Date

02/23/1983

Effective Date

03/29/2018

Expiration Date

01/31/2019

City

DU QUOIN

State

Zip

62832

County

JACKSON

Ever Disciplined

LastModifiedDate

11/14/2018