ALI HASAN KISHTA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013629

License Status

NOT RENEWED

Business

First Name

ALI

Middle

HASAN

Last Name

KISHTA

Business Name

ALI HASAN KISHTA

Original Issue Date

12/01/2015

Effective Date

09/24/2020

Expiration Date

08/31/2022

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022