SHANTA S BOOSE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043134140

License Status

ACTIVE

Business

First Name

SHANTA

Middle

Last Name

BOOSE

Business Name

SHANTA S BOOSE

Original Issue Date

08/25/2023

Effective Date

11/06/2024

Expiration Date

01/31/2027

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/06/2024