ANGELA GRAY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022716

License Status

ACTIVE

Business

First Name

ANGELA

Last Name

GRAY

Business Name

ANGELA GRAY

BusinessDBA

SHANK

Original Issue Date

01/19/2021

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/09/2026