SHAUNA R VANDERMEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

NOT RENEWED

Business

First Name

SHAUNA

Middle

Last Name

VANDERMEY

Business Name

SHAUNA R VANDERMEY

Original Issue Date

01/27/2021

Effective Date

01/27/2021

Expiration Date

08/31/2022

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022