NEHA SHAH THENGIL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

INACTIVE

Business

First Name

NEHA

Middle

SHAH

Last Name

THENGIL

Business Name

NEHA SHAH THENGIL

Original Issue Date

09/23/2016

Effective Date

06/16/2020

Expiration Date

05/31/2022

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/16/2020