YOGITABEN DEEPAKKUMAR PATEL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

NOT RENEWED

Business

First Name

YOGITABEN

Middle

DEEPAKKUMAR

Last Name

PATEL

Business Name

YOGITABEN DEEPAKKUMAR PATEL

Original Issue Date

10/11/2017

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

BURR RIDGE

State

Zip

60527

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021