SHANTEZ C BASKIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043128647

License Status

NOT RENEWED

Business

First Name

SHANTEZ

Middle

Last Name

BASKIN

Business Name

SHANTEZ C BASKIN

Original Issue Date

03/17/2020

Effective Date

01/25/2021

Expiration Date

01/31/2023

City

GRIFFITH

State

Zip

46319

Ever Disciplined

LastModifiedDate

03/31/2023