SHANDERA SUE GRANGER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

ACTIVE

Business

First Name

SHANDERA

Middle

SUE

Last Name

GRANGER

Business Name

SHANDERA SUE GRANGER

Original Issue Date

03/31/2025

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026