SHELLY R FERN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

ACTIVE

Business

First Name

SHELLY

Middle

Last Name

FERN

Business Name

SHELLY R FERN

Original Issue Date

01/13/2021

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

DEKALB

State

Zip

60115

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026