TYHEATSHA SAMANTHA SHELLY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028836

License Status

ACTIVE

Business

First Name

TYHEATSHA

Middle

SAMANTHA

Last Name

SHELLY

Business Name

TYHEATSHA SAMANTHA SHELLY

Original Issue Date

11/17/2023

Effective Date

05/30/2024

Expiration Date

05/31/2026

City

GLENWOOD

State

Zip

60425

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026