SHANNON J KUNKLE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

KUNKLE

Business Name

SHANNON J KUNKLE

Original Issue Date

09/27/2021

Effective Date

03/09/2024

Expiration Date

05/31/2026

City

NORMAL

State

Zip

61780

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026