SHANTAE R HARTZOG - Registered Nurse License in Illinois | # 043087775

SHANTAE R HARTZOG

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087775

License Status

NOT RENEWED

Business

N

First Name

SHANTAE

Middle

R

Last Name

HARTZOG

Business Name

SHANTAE R HARTZOG

Original Issue Date

09/26/2002

Effective Date

01/29/2009

Expiration Date

01/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

03/10/2011