ALFREDA LOUISE SHIELDS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

INACTIVE

Business

First Name

ALFREDA

Middle

LOUISE

Last Name

SHIELDS

Business Name

ALFREDA LOUISE SHIELDS

Original Issue Date

05/08/2014

Effective Date

09/30/2020

Expiration Date

05/31/2022

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2020