SHANNON R LANE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277005347

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

LANE

Business Name

SHANNON R LANE

Original Issue Date

03/11/2026

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

BLOOMINGTOM

State

Zip

61704

Ever Disciplined

LastModifiedDate

03/11/2026