KELLI L SHAH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

ACTIVE

Business

First Name

KELLI

Middle

Last Name

SHAH

Business Name

KELLI L SHAH

Original Issue Date

07/12/2004

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/12/2026