TRACI L SHANKLIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

INACTIVE

Business

First Name

TRACI

Middle

Last Name

SHANKLIN

Business Name

TRACI L SHANKLIN

Original Issue Date

12/26/2013

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

JOLIET

State

Zip

60435

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2020