SHANNON R DOUGHMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084459

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

DOUGHMAN

Business Name

SHANNON R DOUGHMAN

Original Issue Date

12/15/1999

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

HAMMOND

State

Zip

46323

County

INDIANA

Ever Disciplined

LastModifiedDate

10/15/2005