SARAH ELIZABETH RUTH SHANNON Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

INOPERATIVE

Business

First Name

SARAH

Middle

ELIZABETH RUTH

Last Name

SHANNON

Business Name

SARAH ELIZABETH RUTH SHANNON

Original Issue Date

09/29/2017

Effective Date

03/16/2018

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

03/08/2020