SHANNON R LANE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

INACTIVE

Business

First Name

SHANNON

Middle

Last Name

LANE

Business Name

SHANNON R LANE

Original Issue Date

11/13/2017

Effective Date

03/10/2024

Expiration Date

05/31/2026

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/11/2026