SHANNON L FASIG Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

FASIG

Business Name

SHANNON L FASIG

Original Issue Date

10/04/2017

Effective Date

10/04/2017

Expiration Date

05/31/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/19/2018