SUMAN GOWDA SHAW Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020361

License Status

ACTIVE

Business

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

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

03/02/2026