MILDRED ELAINE SHAFER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000900

License Status

NOT RENEWED

Business

First Name

MILDRED

Middle

ELAINE

Last Name

SHAFER

Business Name

MILDRED ELAINE SHAFER

Original Issue Date

06/12/2001

Effective Date

05/29/2022

Expiration Date

06/30/2024

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

02/05/2025