MONA JAGDISH PATEL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

ACTIVE

Business

First Name

MONA

Middle

JAGDISH

Last Name

PATEL

Business Name

MONA JAGDISH PATEL

Original Issue Date

08/08/2019

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

BERWYN

State

Zip

60402

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026