CORINNA JO SHEPPARD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

ACTIVE

Business

First Name

CORINNA

Middle

Last Name

SHEPPARD

Business Name

CORINNA JO SHEPPARD

Original Issue Date

01/16/2025

Effective Date

01/16/2025

Expiration Date

05/31/2026

City

BARRY

State

Zip

62312

County

PIKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026