DANIELLE L SHUBERT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

INACTIVE

Business

First Name

DANIELLE

Middle

Last Name

SHUBERT

Business Name

DANIELLE L SHUBERT

Original Issue Date

11/05/2020

Effective Date

11/05/2020

Expiration Date

08/31/2022

City

BREESE

State

Zip

62230

County

CLINTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2022