SAMANTHA R SHAPPELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085378

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

SHAPPELL

Business Name

SAMANTHA R SHAPPELL

Original Issue Date

09/27/2000

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

10/15/2005