SHANNON L FELDMAN 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

Last Name

FELDMAN

Business Name

SHANNON L FELDMAN

Original Issue Date

01/10/2014

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2018