NICHOLAS K SHOCKLEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

Last Name

SHOCKLEY

Business Name

NICHOLAS K SHOCKLEY

Original Issue Date

09/05/2018

Effective Date

03/07/2026

Expiration Date

05/31/2028

City

MARION

State

Zip

62959

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/07/2026