SHANNON D WALLER - Advanced Practice Nurse License in Illinois | # 209013915

SHANNON D WALLER

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013915

License Status

ACTIVE

Business

N

First Name

SHANNON

Middle

D

Last Name

WALLER

Business Name

SHANNON D WALLER

Original Issue Date

02/29/2016

Effective Date

05/24/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/02/2026