JENNY K SHAH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000581

License Status

NOT RENEWED

Business

First Name

JENNY

Middle

Last Name

SHAH

Business Name

JENNY K SHAH

Original Issue Date

05/29/2001

Effective Date

04/01/2016

Expiration Date

05/31/2018

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/16/2018