YAMINI BODDU Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

ACTIVE

Business

First Name

YAMINI

Last Name

BODDU

Business Name

YAMINI BODDU

Original Issue Date

08/19/2024

Effective Date

08/19/2024

Expiration Date

05/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026