SHANTI ELLEN CHANG Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209032529

License Status

INACTIVE

Business

First Name

SHANTI

Middle

ELLEN

Last Name

CHANG

Business Name

SHANTI ELLEN CHANG

Original Issue Date

06/16/2025

Effective Date

06/16/2025

Expiration Date

05/31/2026

City

FAIRFAX

State

Zip

22030

Ever Disciplined

LastModifiedDate

09/15/2025