SHANNON M GOSS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

GOSS

Business Name

SHANNON M GOSS

Original Issue Date

01/21/2022

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026