SHANE M BOGGS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043109021

License Status

INACTIVE

Business

First Name

SHANE

Middle

Last Name

BOGGS

Business Name

SHANE M BOGGS

Original Issue Date

09/29/2009

Effective Date

01/14/2019

Expiration Date

01/31/2021

City

PEKIN

State

Zip

61554

Ever Disciplined

LastModifiedDate

11/08/2020