KETAN M SHAH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

NOT RENEWED

Business

First Name

KETAN

Middle

Last Name

SHAH

Business Name

KETAN M SHAH

Original Issue Date

10/06/2011

Effective Date

05/21/2022

Expiration Date

06/30/2024

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/05/2025