SHANNA R BLEVENS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104558

License Status

NOT RENEWED

Business

First Name

SHANNA

Middle

Last Name

BLEVENS

Business Name

SHANNA R BLEVENS

Original Issue Date

10/10/2007

Effective Date

10/10/2007

Expiration Date

01/31/2009

City

SULLIVAN

State

Zip

47882

County

INDIANA

Ever Disciplined

LastModifiedDate

03/17/2009