TRISHA VIRENDRA SHETH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

NOT RENEWED

Business

First Name

TRISHA

Middle

VIRENDRA

Last Name

SHETH

Business Name

TRISHA VIRENDRA SHETH

Original Issue Date

10/16/2009

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021