SUZAN C SHANE-GRAY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008562

License Status

ACTIVE

Business

First Name

SUZAN C

Last Name

SHANE-GRAY

Business Name

SUZAN C SHANE-GRAY

Original Issue Date

12/16/2010

Effective Date

04/11/2024

Expiration Date

05/31/2026

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

03/02/2026