SHIVANI HARENDRA MEHTA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009886

License Status

NOT RENEWED

Business

First Name

SHIVANI

Middle

HARENDRA

Last Name

MEHTA

Business Name

SHIVANI HARENDRA MEHTA

Original Issue Date

10/09/2012

Effective Date

05/26/2016

Expiration Date

05/31/2018

City

POMONA

State

Zip

91766

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

07/19/2018