SHANNON M KRUEGER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

INACTIVE

Business

First Name

SHANNON

Middle

Last Name

KRUEGER

Business Name

SHANNON M KRUEGER

Original Issue Date

08/19/2008

Effective Date

09/04/2020

Expiration Date

08/31/2022

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2022