BRADEN JAMES SHAFFER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

NOT RENEWED

Business

First Name

BRADEN

Middle

JAMES

Last Name

SHAFFER

Business Name

BRADEN JAMES SHAFFER

Original Issue Date

03/20/2019

Effective Date

08/24/2022

Expiration Date

06/30/2024

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025