SHANE MATTHEW EXNER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

ACTIVE

Business

First Name

SHANE

Middle

MATTHEW

Last Name

EXNER

Business Name

SHANE MATTHEW EXNER

Original Issue Date

03/23/2025

Effective Date

03/23/2025

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026