COREY W SHUMATE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

INACTIVE

Business

First Name

COREY

Middle

Last Name

SHUMATE

Business Name

COREY W SHUMATE

Original Issue Date

12/15/2017

Effective Date

05/18/2020

Expiration Date

05/31/2022

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2020