JULIE ANN SHAIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

ANN

Last Name

SHAIN

Business Name

JULIE ANN SHAIN

Original Issue Date

01/11/2018

Effective Date

04/02/2020

Expiration Date

08/31/2022

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022