JEREMIAH D SHOOT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081499

License Status

NOT RENEWED

Business

First Name

JEREMIAH

Middle

Last Name

SHOOT

Business Name

JEREMIAH D SHOOT

Original Issue Date

10/23/1997

Effective Date

01/04/2005

Expiration Date

01/31/2007

City

NEOGA

State

Zip

62447

County

CUMBERLAND

Ever Disciplined

LastModifiedDate

03/16/2007