VIBHUTI G PATEL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

NOT RENEWED

Business

First Name

VIBHUTI

Middle

Last Name

PATEL

Business Name

VIBHUTI G PATEL

Original Issue Date

07/19/2018

Effective Date

07/19/2018

Expiration Date

09/30/2020

City

EAST DUNDEE

State

Zip

60118

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021