SHAUNA L BIVENS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****89

License Status

ACTIVE

Business

First Name

SHAUNA

Middle

Last Name

BIVENS

Business Name

SHAUNA L BIVENS

Original Issue Date

08/16/2016

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

PEKIN

State

Zip

61554

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026