SHANNON H MALONE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

INACTIVE

Business

First Name

SHANNON

Middle

Last Name

MALONE

Business Name

SHANNON H MALONE

Original Issue Date

12/19/2022

Effective Date

04/08/2024

Expiration Date

05/31/2026

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/09/2025