DIANE MARIE SHALLCROSS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

INACTIVE

Business

First Name

DIANE

Middle

MARIE

Last Name

SHALLCROSS

Business Name

DIANE MARIE SHALLCROSS

Original Issue Date

05/27/2022

Effective Date

04/18/2024

Expiration Date

05/31/2026

City

SAINT CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

04/18/2024