SHANNON COLLEEN MATHIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041345869

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

COLLEEN

Last Name

MATHIS

Business Name

SHANNON COLLEEN MATHIS

Original Issue Date

04/20/2005

Effective Date

04/20/2005

Expiration Date

05/31/2008

City

HOPKINSVILLE

State

Zip

42240

County

KENTUCKY

Ever Disciplined

LastModifiedDate

07/11/2008