SHANNON M SCROGGINS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

SCROGGINS

Business Name

SHANNON M SCROGGINS

Original Issue Date

11/19/2014

Effective Date

05/30/2024

Expiration Date

05/31/2026

City

STERLING

State

Zip

61081

County

WHITESIDE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026