CHARLENE G SHALLOW Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005660

License Status

INACTIVE

Business

First Name

CHARLENE G

Last Name

SHALLOW

Business Name

CHARLENE G SHALLOW

Original Issue Date

08/22/2005

Effective Date

07/27/2020

Expiration Date

05/31/2022

City

GLENARM

State

Zip

62536

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2020