BART RANDALL SHIELDS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003210

License Status

ACTIVE

Business

First Name

BART

Middle

RANDALL

Last Name

SHIELDS

Business Name

BART RANDALL SHIELDS

Original Issue Date

07/20/2001

Effective Date

05/23/2024

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/02/2026