CHINMAYA B MODI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209029609

License Status

ACTIVE

Business

First Name

CHINMAYA

Middle

Last Name

MODI

Business Name

CHINMAYA B MODI

Original Issue Date

04/25/2024

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

SCAHUMBURG

State

Zip

60193

Ever Disciplined

LastModifiedDate

03/17/2026