SHANNON A SANDLIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041343399

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

SANDLIN

Business Name

SHANNON A SANDLIN

Original Issue Date

10/22/2004

Effective Date

10/22/2004

Expiration Date

05/31/2006

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006