TERESITA D SHAH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041160689

License Status

NOT RENEWED

Business

First Name

TERESITA D

Last Name

SHAH

Business Name

TERESITA D SHAH

Original Issue Date

05/06/1975

Effective Date

05/17/2018

Expiration Date

09/30/2020

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021