AMOLA P SHAH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006897

License Status

NOT RENEWED

Business

First Name

AMOLA

Middle

Last Name

SHAH

Business Name

AMOLA P SHAH

Original Issue Date

12/05/2007

Effective Date

04/23/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014