SHELBY L GARDNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

ACTIVE

Business

First Name

SHELBY

Middle

Last Name

GARDNER

Business Name

SHELBY L GARDNER

Original Issue Date

04/14/2025

Effective Date

04/14/2025

Expiration Date

05/31/2026

City

DUNLAP

State

Zip

61525

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026