SHANNON G STANFORD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084107

License Status

INACTIVE

Business

First Name

SHANNON

Middle

Last Name

STANFORD

Business Name

SHANNON G STANFORD

Original Issue Date

10/06/1999

Effective Date

01/04/2001

Expiration Date

01/31/2001

City

FLORA

State

Zip

62839

Ever Disciplined

LastModifiedDate

10/21/2005