SHANNON DAWN EDMOND Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

ACTIVE

Business

First Name

SHANNON

Middle

DAWN

Last Name

EDMOND

Business Name

SHANNON DAWN EDMOND

Original Issue Date

02/03/2014

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

DAVENPORT

State

Zip

52803

County

SCOTT

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/05/2026