SUMIA S DUTIA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

ACTIVE

Business

First Name

SUMIA

Middle

Last Name

DUTIA

Business Name

SUMIA S DUTIA

Original Issue Date

06/22/2023

Effective Date

01/25/2025

Expiration Date

05/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026