MELISSA K SHOCKEY Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

INOPERATIVE

Business

First Name

MELISSA

Middle

Last Name

SHOCKEY

Business Name

MELISSA K SHOCKEY

Original Issue Date

06/03/2016

Effective Date

06/03/2016

Expiration Date

05/31/2018

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/01/2018