SHANNON MARIE ROBERTS Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

INOPERATIVE

Business

First Name

SHANNON

Middle

MARIE

Last Name

ROBERTS

Business Name

SHANNON MARIE ROBERTS

Original Issue Date

12/18/2020

Effective Date

07/16/2022

Expiration Date

05/31/2024

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

03/03/2024