SHELLY L BALDWIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

ACTIVE

Business

First Name

SHELLY L

Last Name

BALDWIN

Business Name

SHELLY L BALDWIN

Original Issue Date

11/04/2024

Effective Date

11/04/2024

Expiration Date

05/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026