SHELLANE M TANGEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015253

License Status

INACTIVE

Business

First Name

SHELLANE M

Last Name

TANGEN

Business Name

SHELLANE M TANGEN

Original Issue Date

12/07/2016

Effective Date

03/26/2020

Expiration Date

08/31/2022

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/02/2022