DHARA MEHTA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

ACTIVE

Business

First Name

DHARA

Last Name

MEHTA

Business Name

DHARA MEHTA

Original Issue Date

06/29/2025

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61107

County

COOK

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/02/2026