SHANE GARDNER DO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041433188

License Status

NOT RENEWED

Business

Title

First Name

SHANE

Last Name

GARDNER

Business Name

SHANE GARDNER DO

Original Issue Date

07/30/2015

Effective Date

09/01/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022