Shannon Paige Brock

Name

Shannon Paige Brock

Year of birth

1966

Source

USA - Health and Human Services List of Excluded Individuals and Entities

Aliases

Shannon Paige Brock

Privacy Request

Additional Information

General: NURSING PROFESSION

Specialty: NURSE/NURSES AIDE

Address: 499 POWERS RD

City: MANCHESTER

State: TN

Zip code: 37355

Exclusion type: License revocation, suspension, or surrender. Minimum Period: Period imposed by the state licensing authority. (Social Security Act: 1128(b)(4), 42 USC §: 1320a-7(b)(4))

Exclusion date: 2007-05-20


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