STACY L SHANNON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113982

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

SHANNON

Business Name

STACY L SHANNON

Original Issue Date

11/29/2011

Effective Date

11/29/2011

Expiration Date

01/31/2013

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

03/20/2013