License holder summary

Amanda Rae Shively is a Licensed Practical Nurse licensed to practice in Indiana. The address on file for Amanda Rae Shively is Portage IN 46368. This nurse license is current. The license was granted 09/15/2004 and expired on 10/31/2016.

Indiana

State Board of Nursing

Amanda Rae Shively
Licensed Practical Nurse
License number
27054364A
Date granted
09/15/2004
Date expires
10/31/2016
Class
Licensed Practical Nurse
Status
Active
Address
Portage IN 46368
nursingindiana.org
ID 7223689
LAST UPDATED 2024-04-27 22:02:23 UTC

This website is unaffiliated with the State Board of Nursing. Please verify all information directly with the relevant official government authority.

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