JERRY SHELBY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

INACTIVE

Business

First Name

JERRY

Last Name

SHELBY

Business Name

JERRY SHELBY

Original Issue Date

01/30/2020

Effective Date

05/04/2022

Expiration Date

05/31/2024

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2022