ANITA G SHAH Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

INOPERATIVE

Business

First Name

ANITA

Middle

Last Name

SHAH

Business Name

ANITA G SHAH

Original Issue Date

01/29/2015

Effective Date

03/29/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

03/01/2018