SHRUTI PRIANK PATEL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

NOT RENEWED

Business

First Name

SHRUTI

Middle

PRIANK

Last Name

PATEL

Business Name

SHRUTI PRIANK PATEL

Original Issue Date

05/04/2017

Effective Date

05/04/2017

Expiration Date

05/31/2018

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018