KETAN M SHAH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277002406

License Status

ACTIVE

Business

First Name

KETAN

Middle

Last Name

SHAH

Business Name

KETAN M SHAH

Original Issue Date

12/13/2022

Effective Date

03/14/2026

Expiration Date

05/31/2028

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/14/2026