SHANNON C TROSPER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

INACTIVE

Business

First Name

SHANNON

Middle

Last Name

TROSPER

Business Name

SHANNON C TROSPER

Original Issue Date

05/05/2025

Effective Date

05/05/2025

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61606

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2025