ROMIL N PATEL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

INACTIVE

Business

First Name

ROMIL

Middle

Last Name

PATEL

Business Name

ROMIL N PATEL

Original Issue Date

08/08/2019

Effective Date

05/12/2022

Expiration Date

05/31/2024

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023