SHANNON K ERVIN 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

SHANNON

Middle

Last Name

ERVIN

Business Name

SHANNON K ERVIN

Original Issue Date

01/31/2022

Effective Date

04/09/2024

Expiration Date

05/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026