LYNDA ANN SHIRO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

ACTIVE

Business

First Name

LYNDA

Middle

ANN

Last Name

SHIRO

Business Name

LYNDA ANN SHIRO

Original Issue Date

08/21/2017

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

FREEPORT

State

Zip

61032

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026