MOHINI J GHAYAL 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

MOHINI

Middle

Last Name

GHAYAL

Business Name

MOHINI J GHAYAL

Original Issue Date

01/14/2021

Effective Date

01/14/2021

Expiration Date

08/31/2022

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/14/2022