MALLIKA H PATEL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****46

License Status

ACTIVE

Business

First Name

MALLIKA

Middle

Last Name

PATEL

Business Name

MALLIKA H PATEL

Original Issue Date

06/01/2017

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026