KETAN M SHAH - Advanced Practice Nurse License in Illinois | # 209008868

KETAN M SHAH

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008868

License Status

INACTIVE

Business

N

First Name

KETAN

Middle

M

Last Name

SHAH

Business Name

KETAN M SHAH

Original Issue Date

06/02/2011

Effective Date

05/21/2022

Expiration Date

05/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

12/14/2022