FARAH LYNN SHADDIX Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209024820

License Status

ACTIVE

Business

First Name

FARAH

Middle

LYNN

Last Name

SHADDIX

Business Name

FARAH LYNN SHADDIX

Original Issue Date

02/19/2022

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

O FALLON

State

Zip

63366

Ever Disciplined

LastModifiedDate

03/18/2026