JENNY K SHAH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

NOT RENEWED

Business

First Name

JENNY

Middle

Last Name

SHAH

Business Name

JENNY K SHAH

Original Issue Date

05/29/2001

Effective Date

04/03/2016

Expiration Date

05/31/2018

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

07/19/2018