PRIYA SANIL MATHEW Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

ACTIVE

Business

First Name

PRIYA

Middle

SANIL

Last Name

MATHEW

Business Name

PRIYA SANIL MATHEW

Original Issue Date

09/28/2017

Effective Date

05/20/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026