MADHU L SHARMA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

NOT RENEWED

Business

First Name

MADHU

Middle

Last Name

SHARMA

Business Name

MADHU L SHARMA

Original Issue Date

05/08/2008

Effective Date

08/27/2020

Expiration Date

08/31/2022

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022