AMY L SHORT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

SHORT

Business Name

AMY L SHORT

Original Issue Date

06/20/2023

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026