GROVER A SHELTON III Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041491759

License Status

NOT RENEWED

Business

First Name

GROVER

Middle

Last Name

SHELTON III

Business Name

GROVER A SHELTON III

Original Issue Date

02/25/2020

Effective Date

02/25/2020

Expiration Date

09/30/2020

City

INDIANAPOLIS

State

Zip

46220

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021