SHANNON R LANE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016035

License Status

INACTIVE

Business

First Name

SHANNON

Middle

Last Name

LANE

Business Name

SHANNON R LANE

Original Issue Date

06/05/2017

Effective Date

03/10/2024

Expiration Date

05/31/2026

City

MC LEAN

State

Zip

61754

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/11/2026