SHANNON M HOLTHAUS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011667

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

HOLTHAUS

Business Name

SHANNON M HOLTHAUS

Original Issue Date

07/25/2014

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

03/04/2026