GINA L SHAFFER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083702

License Status

INACTIVE

Business

First Name

GINA

Middle

Last Name

SHAFFER

Business Name

GINA L SHAFFER

Original Issue Date

05/18/1999

Effective Date

01/15/2003

Expiration Date

01/31/2003

City

ELIZABETHTOWN

State

Zip

62931

County

HARDIN

Ever Disciplined

LastModifiedDate

10/15/2005