SHELLANE M TANGEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

INACTIVE

Business

First Name

SHELLANE M

Last Name

TANGEN

Business Name

SHELLANE M TANGEN

Original Issue Date

10/20/2017

Effective Date

03/26/2020

Expiration Date

08/31/2022

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/02/2022