SUMAN GOWDA SHAW - Advanced Practice Nurse License in Illinois | # 209020361

SUMAN GOWDA SHAW

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020361

License Status

ACTIVE

Business

N

First Name

SUMAN

Middle

GOWDA

Last Name

SHAW

Business Name

SUMAN GOWDA SHAW

Original Issue Date

10/31/2019

Effective Date

03/20/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/02/2026