ANNIE P SHIDELER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

ACTIVE

Business

First Name

ANNIE

Middle

Last Name

SHIDELER

Business Name

ANNIE P SHIDELER

Original Issue Date

08/28/2023

Effective Date

03/09/2024

Expiration Date

05/31/2026

City

PALOS HEIGHTS

State

Zip

60463

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026