TIMOTHY S SHELBY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041306356

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

SHELBY

Business Name

TIMOTHY S SHELBY

Original Issue Date

09/30/1997

Effective Date

05/25/2016

Expiration Date

05/31/2018

City

MISHAWAKA

State

Zip

46545

County

INDIANA

Ever Disciplined

LastModifiedDate

10/15/2018

Case Number

2016010484

Action

Refuse To Renew

Discipline Start Date

10/04/2018

Discipline Reason

due to sister-state discipline.