CONNOR S SHAW Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

ACTIVE

Business

First Name

CONNOR

Middle

Last Name

SHAW

Business Name

CONNOR S SHAW

Original Issue Date

05/18/2021

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026