MARY ANNE SHIELDS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

NOT RENEWED

Business

First Name

MARY ANNE

Last Name

SHIELDS

Business Name

MARY ANNE SHIELDS

Original Issue Date

02/22/2002

Effective Date

02/22/2002

Expiration Date

05/31/2004

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/09/2006