SHANNON LEE LUCZAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041383831

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

LEE

Last Name

LUCZAK

Business Name

SHANNON LEE LUCZAK

Original Issue Date

05/13/2010

Effective Date

04/20/2016

Expiration Date

05/31/2018

City

MISHAWAKA

State

Zip

46545

Ever Disciplined

LastModifiedDate

07/19/2018