SHANNA S KRAUSE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

NOT RENEWED

Business

First Name

SHANNA

Middle

Last Name

KRAUSE

Business Name

SHANNA S KRAUSE

Original Issue Date

05/07/2013

Effective Date

05/06/2018

Expiration Date

09/30/2020

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021