SHINA KEAONIS GORDON

Business Entity
ACTIVE

Advanced Practice Nurse

FULL PRACTICE AUTHORITY APRN CONTROL SUB

37*****33

ACTIVE

N

SHINA

KEAONIS

GORDON

SHINA KEAONIS GORDON

03/28/2023

03/05/2026

05/31/2028

DOWNERS GROVE

IL

60515

DUPAGE

N

03/05/2026