ERICK ALLEN SHANNON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

ACTIVE

Business

First Name

ERICK

Middle

ALLEN

Last Name

SHANNON

Business Name

ERICK ALLEN SHANNON

Original Issue Date

12/22/2025

Effective Date

12/22/2025

Expiration Date

05/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026