TEJAL PATEL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

NOT RENEWED

Business

First Name

TEJAL

Last Name

PATEL

Business Name

TEJAL PATEL

Original Issue Date

09/09/2020

Effective Date

05/13/2022

Expiration Date

06/30/2024

City

LOMBARD

State

Zip

60148

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025