ASHA M PATEL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

NOT RENEWED

Business

First Name

ASHA

Middle

Last Name

PATEL

Business Name

ASHA M PATEL

Original Issue Date

04/15/2019

Effective Date

05/19/2020

Expiration Date

08/31/2022

City

WAUKEGAN

State

Zip

60085

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022