PENELOPE A SHIELDS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012444

License Status

INACTIVE

Business

First Name

PENELOPE

Middle

Last Name

SHIELDS

Business Name

PENELOPE A SHIELDS

Original Issue Date

01/14/2015

Effective Date

04/03/2024

Expiration Date

05/31/2026

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/09/2025