SHANNON D WALLE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021729

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

WALLE

Business Name

SHANNON D WALLE

Original Issue Date

07/29/2020

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

SHERMAN

State

Zip

62684

Specialty/Qualifier

DOCTORATE

Ever Disciplined

LastModifiedDate

03/02/2026