SHAMA D PATEL 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

SHAMA

Middle

Last Name

PATEL

Business Name

SHAMA D PATEL

Original Issue Date

02/08/2023

Effective Date

03/22/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60612

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026