AMANDA RAE SHIVELY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041520520

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

RAE

Last Name

SHIVELY

Business Name

AMANDA RAE SHIVELY

Original Issue Date

01/27/2022

Effective Date

08/26/2022

Expiration Date

06/30/2024

City

PORTAGE

State

Zip

46368

Ever Disciplined

LastModifiedDate

02/05/2025