SHANTESE R CROCKETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043125371

License Status

NOT RENEWED

Business

First Name

SHANTESE

Middle

Last Name

CROCKETT

Business Name

SHANTESE R CROCKETT

Original Issue Date

03/26/2018

Effective Date

01/31/2019

Expiration Date

01/31/2021

City

WEST BLOOMFIELD

State

Zip

48323

Ever Disciplined

LastModifiedDate

03/11/2021