KRUTIKABEN VISHAL PATEL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

INACTIVE

Business

First Name

KRUTIKABEN

Middle

VISHAL

Last Name

PATEL

Business Name

KRUTIKABEN VISHAL PATEL

Original Issue Date

09/16/2020

Effective Date

03/09/2024

Expiration Date

05/31/2026

City

ORLAND PARK

State

Zip

60467

Ever Disciplined

LastModifiedDate

03/09/2024