AMANDA JEAN SHATTUCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085963

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

JEAN

Last Name

SHATTUCK

Business Name

AMANDA JEAN SHATTUCK

Original Issue Date

03/05/2001

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

WEST TERRE HAUTE

State

Zip

47885

County

INDIANA

Ever Disciplined

LastModifiedDate

10/15/2005