SHANNON M HOLTHAUS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

HOLTHAUS

Business Name

SHANNON M HOLTHAUS

Original Issue Date

09/30/2014

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026