SHANNON K MALE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

MALE

Business Name

SHANNON K MALE

Original Issue Date

02/28/2018

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026