ROMA DIPAK PATEL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

NOT RENEWED

Business

First Name

ROMA

Middle

DIPAK

Last Name

PATEL

Business Name

ROMA DIPAK PATEL

Original Issue Date

01/19/2022

Effective Date

06/07/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025