SHANNON DANIELLE FRY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

INACTIVE

Business

First Name

SHANNON

Middle

DANIELLE

Last Name

FRY

Business Name

SHANNON DANIELLE FRY

Original Issue Date

10/14/2022

Effective Date

04/28/2024

Expiration Date

05/31/2026

City

ERIE

State

Zip

61250

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2025