JARYN SHEA BLACK Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****23

License Status

INOPERATIVE

Business

First Name

JARYN

Middle

SHEA

Last Name

BLACK

Business Name

JARYN SHEA BLACK

Original Issue Date

07/07/2020

Effective Date

04/07/2024

Expiration Date

05/31/2026

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

03/02/2026