SHOBHNA RAJENDRA SHUKLA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005319

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012