SHIVANI G PATEL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

ACTIVE

Business

First Name

SHIVANI

Middle

Last Name

PATEL

Business Name

SHIVANI G PATEL

Original Issue Date

12/24/2022

Effective Date

06/04/2024

Expiration Date

05/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026