MUZAMMIL OMAR SOORMA 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

MUZAMMIL

Middle

OMAR

Last Name

SOORMA

Business Name

MUZAMMIL OMAR SOORMA

Original Issue Date

09/03/2022

Effective Date

06/09/2024

Expiration Date

05/31/2026

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026