REGINA MARIE SHASHA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

INACTIVE

Business

First Name

REGINA

Middle

MARIE

Last Name

SHASHA

Business Name

REGINA MARIE SHASHA

Original Issue Date

08/30/2001

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60614

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2018