SHOBHNA RAJENDRA SHUKLA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

NOT RENEWED

Business

First Name

SHOBHNA

Middle

RAJENDRA

Last Name

SHUKLA

Business Name

SHOBHNA RAJENDRA SHUKLA

Original Issue Date

01/24/2005

Effective Date

05/06/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012