Amanda Rae Shively
Licensed Practical Nurse
Indiana 27054364A Active
This Indiana license is held by Amanda Rae Shively. The license is currently active. It was granted on 09/15/2004 and expired on 10/31/2016
LICENSE DETAILS
- License Number: 27054364A
- Category: Licensed Practical Nurse
- Status: Active
- Date Granted: 09/15/2004 (over 21 years ago)
- Expiry Date: 10/31/2016 (over 9 years ago)
LOCATIONS
A Address
Portage IN 46368