CHARLENE G SHALLOW Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

INACTIVE

Business

First Name

CHARLENE G

Last Name

SHALLOW

Business Name

CHARLENE G SHALLOW

Original Issue Date

05/02/2008

Effective Date

07/27/2020

Expiration Date

05/31/2022

City

GLENARM

State

Zip

62536

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2020