KSHITI S PATEL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

ACTIVE

Business

First Name

KSHITI

Middle

Last Name

PATEL

Business Name

KSHITI S PATEL

Original Issue Date

09/03/2019

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026