MEGHAN J SHACKLETON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

ACTIVE

Business

First Name

MEGHAN

Middle

Last Name

SHACKLETON

Business Name

MEGHAN J SHACKLETON

Original Issue Date

10/14/2020

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026