MAMTA SHAH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041577464

License Status

ACTIVE

Business

First Name

MAMTA

Last Name

SHAH

Business Name

MAMTA SHAH

Original Issue Date

11/25/2024

Effective Date

11/25/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/28/2026