SHANNON GAIL HEIDT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022397

License Status

ACTIVE

Business

First Name

SHANNON

Middle

GAIL

Last Name

HEIDT

Business Name

SHANNON GAIL HEIDT

Original Issue Date

11/12/2020

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

BELOIT

State

Zip

53511

Ever Disciplined

LastModifiedDate

03/06/2026