JUDITH R SHANKS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044939

License Status

NOT RENEWED

Business

First Name

JUDITH R

Last Name

SHANKS

Business Name

JUDITH R SHANKS

Original Issue Date

09/06/1978

Expiration Date

05/01/1982

City

FORT WAYNE

State

Zip

46802

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005