MALIA LYNN SHUPPERT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041345373

License Status

NOT RENEWED

Business

First Name

MALIA

Middle

LYNN

Last Name

SHUPPERT

Business Name

MALIA LYNN SHUPPERT

Original Issue Date

03/23/2005

Effective Date

03/23/2005

Expiration Date

05/31/2006

City

SHELBYVILLE

State

Zip

46176

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006