SHALISA A HENSON Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

INOPERATIVE

Business

First Name

SHALISA

Middle

Last Name

HENSON

Business Name

SHALISA A HENSON

Original Issue Date

09/23/2008

Effective Date

06/29/2024

Expiration Date

05/31/2026

City

CENTRALIA

State

Zip

62801

County

MARION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2024