SHALLOTE A FONCHAM Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041560005

License Status

ACTIVE

Business

First Name

SHALLOTE

Middle

Last Name

FONCHAM

Business Name

SHALLOTE A FONCHAM

Original Issue Date

02/13/2024

Effective Date

03/18/2025

Expiration Date

05/31/2026

City

COLUMBUS

State

Zip

43232

Ever Disciplined

LastModifiedDate

03/01/2026