KETA R SHAH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

ACTIVE

Business

First Name

KETA

Middle

Last Name

SHAH

Business Name

KETA R SHAH

Original Issue Date

01/09/2026

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/11/2026