KUNJAL JAIMIN SHAH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

INACTIVE

Business

First Name

KUNJAL

Middle

JAIMIN

Last Name

SHAH

Business Name

KUNJAL JAIMIN SHAH

Original Issue Date

12/01/2016

Effective Date

06/01/2022

Expiration Date

05/31/2024

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

06/01/2022