LISA A PATEL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021062

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

PATEL

Business Name

LISA A PATEL

Original Issue Date

03/19/2020

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

04/18/2025