SHIVANI HARENDRA MEHTA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

NOT RENEWED

Business

First Name

SHIVANI

Middle

HARENDRA

Last Name

MEHTA

Business Name

SHIVANI HARENDRA MEHTA

Original Issue Date

08/21/2013

Effective Date

04/12/2017

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018