SHAMIK A SHAH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

NOT RENEWED

Business

First Name

SHAMIK

Middle

Last Name

SHAH

Business Name

SHAMIK A SHAH

Original Issue Date

01/11/2006

Effective Date

05/31/2012

Expiration Date

05/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014