MIRA ASHOK DESAI Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

INACTIVE

Business

First Name

MIRA

Middle

ASHOK

Last Name

DESAI

Business Name

MIRA ASHOK DESAI

Original Issue Date

03/27/2015

Effective Date

05/11/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2022