KETAN M SHAH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008868

License Status

INACTIVE

Business

First Name

KETAN

Middle

Last Name

SHAH

Business Name

KETAN M SHAH

Original Issue Date

06/02/2011

Effective Date

05/21/2022

Expiration Date

05/31/2024

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/14/2022