ELIZABETH C SHALLENBERGER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

Last Name

SHALLENBERGER

Business Name

ELIZABETH C SHALLENBERGER

Original Issue Date

10/04/2018

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

ANNA

State

Zip

62906

County

UNION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026