SHANNA M WIDERA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004579

License Status

ACTIVE

Business

First Name

SHANNA

Middle

Last Name

WIDERA

Business Name

SHANNA M WIDERA

Original Issue Date

01/03/2003

Effective Date

04/19/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026