SHANNON MARIE MENDEZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041345111

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

MARIE

Last Name

MENDEZ

Business Name

SHANNON MARIE MENDEZ

Original Issue Date

03/22/2005

Effective Date

03/22/2005

Expiration Date

05/31/2006

City

CROWN POINT

State

Zip

46307

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006