KELLI L SHAH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043072606

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

Last Name

SHAH

Business Name

KELLI L SHAH

Original Issue Date

12/23/1992

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/15/2005