Jennifer L. Shambaugh

Nursing Board - Csr Prescriptive Authority

Indiana  71002009B   Expired

This Indiana license was held by Jennifer L. Shambaugh. The license is no longer active. It was granted on 11/14/2005 and expired on 10/31/2011

LICENSE DETAILS

  • License Number: 71002009B
  • Category: CSR-Prescriptive Authority
  • Status: Expired
  • Date Granted: 11/14/2005 (over 20 years ago)
  • Expiry Date: 10/31/2011 (over 14 years ago)

LOCATIONS

A Address

Children's Care Center, 2700 S. Lafayette Road Suite B10, Fort Wayne IN 46806