PAYAL K RANA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

NOT RENEWED

Business

First Name

PAYAL

Middle

Last Name

RANA

Business Name

PAYAL K RANA

Original Issue Date

05/24/2017

Effective Date

05/17/2022

Expiration Date

06/30/2024

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025