KELLI L SHAH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005102

License Status

ACTIVE

Business

First Name

KELLI

Middle

Last Name

SHAH

Business Name

KELLI L SHAH

Original Issue Date

04/26/2004

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/12/2026