PREMA DAVID Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

ACTIVE

Business

First Name

PREMA

Last Name

DAVID

Business Name

PREMA DAVID

Original Issue Date

11/14/2001

Effective Date

03/16/2026

Expiration Date

05/31/2028

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/16/2026