METALI K SHAH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

ACTIVE

Business

First Name

METALI

Middle

Last Name

SHAH

Business Name

METALI K SHAH

Original Issue Date

02/08/2023

Effective Date

04/04/2024

Expiration Date

05/31/2026

City

THIBODAUX

State

Zip

70301

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026