ALI HASAN KISHTA - Advanced Practice Nurse License in Illinois | # 209013629

ALI HASAN KISHTA

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013629

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2022