JIGNASHA J SHAH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

ACTIVE

Business

First Name

JIGNASHA

Middle

Last Name

SHAH

Business Name

JIGNASHA J SHAH

Original Issue Date

01/02/2013

Effective Date

03/27/2024

Expiration Date

05/31/2026

City

HAWTHORN WOODS

State

Zip

60047

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026