ROMY A MODI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****38

License Status

ACTIVE

Business

First Name

ROMY

Middle

Last Name

MODI

Business Name

ROMY A MODI

Original Issue Date

11/03/2025

Effective Date

11/03/2025

Expiration Date

05/31/2026

City

SCHAUMBURG

State

Zip

60173

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026