SHIVANI PATEL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

NOT RENEWED

Business

First Name

SHIVANI

Last Name

PATEL

Business Name

SHIVANI PATEL

Original Issue Date

03/16/2019

Effective Date

03/16/2019

Expiration Date

09/30/2020

City

MELROSE PARK

State

Zip

60160

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021