NIKITA S GUMMADI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018623

License Status

ACTIVE

Business

First Name

NIKITA

Middle

Last Name

GUMMADI

Business Name

NIKITA S GUMMADI

Original Issue Date

01/16/2019

Effective Date

04/20/2024

Expiration Date

05/31/2026

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026