SHANA M TERPSTRA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043103386

License Status

NOT RENEWED

Business

First Name

SHANA

Middle

Last Name

TERPSTRA

Business Name

SHANA M TERPSTRA

Original Issue Date

04/11/2007

Effective Date

12/06/2010

Expiration Date

01/31/2013

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

03/20/2013