MAHITHA GUDIVADA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

ACTIVE

Business

First Name

MAHITHA

Last Name

GUDIVADA

Business Name

MAHITHA GUDIVADA

Original Issue Date

07/22/2025

Effective Date

07/22/2025

Expiration Date

05/31/2026

City

GLENVIEW

State

Zip

60026

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026