SHELLANE M TANGEN

Business Entity
ACTIVE

Advanced Practice Nurse

FULL PRACTICE AUTHORITY APRN CONTROL SUB

37*****32

ACTIVE

N

SHELLANE M

TANGEN

SHELLANE M TANGEN

06/03/2022

03/17/2026

05/31/2028

CHAMPAIGN

IL

61820

CHAMPAIGN

N

03/17/2026