SHIPHRAH A WILLIAMS-EVANS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

NOT RENEWED

Business

First Name

SHIPHRAH

Middle

Last Name

WILLIAMS-EVANS

Business Name

SHIPHRAH A WILLIAMS-EVANS

Original Issue Date

01/11/2018

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62305

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/14/2021