SUSAN MISKOVICH MEHTA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022485

License Status

ACTIVE

Business

First Name

SUSAN

Middle

MISKOVICH

Last Name

MEHTA

Business Name

SUSAN MISKOVICH MEHTA

BusinessDBA

SUSAN MISKOVICH

Original Issue Date

12/03/2020

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026