SHAMERRA M COLVARD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

INACTIVE

Business

First Name

SHAMERRA

Middle

Last Name

COLVARD

Business Name

SHAMERRA M COLVARD

Original Issue Date

03/27/2023

Effective Date

06/28/2024

Expiration Date

05/31/2026

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/27/2024