JONATHAN SHAFER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

ACTIVE

Business

First Name

JONATHAN

Last Name

SHAFER

Business Name

JONATHAN SHAFER

Original Issue Date

09/17/2025

Effective Date

09/17/2025

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026