DOUGLAS J SHADER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041379421

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

SHADER

Business Name

DOUGLAS J SHADER

Original Issue Date

08/27/2009

Effective Date

05/25/2016

Expiration Date

05/31/2018

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

07/19/2018