SHOBHNA RAJENDRA SHUKLA - Advanced Practice Nurse License in Illinois | # 209005319

SHOBHNA RAJENDRA SHUKLA

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005319

License Status

NOT RENEWED

Business

N

First Name

SHOBHNA

Middle

RAJENDRA

Last Name

SHUKLA

Business Name

SHOBHNA RAJENDRA SHUKLA

Original Issue Date

10/12/2004

Effective Date

05/04/2010

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012