SUMATHI JEGANNATHAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

ACTIVE

Business

First Name

SUMATHI

Last Name

JEGANNATHAN

Business Name

SUMATHI JEGANNATHAN

Original Issue Date

04/06/2017

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

NAPERVILLE

State

Zip

60563

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026