CHARLENE G SHALLOW Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****01

License Status

ACTIVE

Business

First Name

CHARLENE G

Last Name

SHALLOW

Business Name

CHARLENE G SHALLOW

Original Issue Date

12/31/2020

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/02/2026