SONAL MUKESH PATEL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

ACTIVE

Business

First Name

SONAL

Middle

MUKESH

Last Name

PATEL

Business Name

SONAL MUKESH PATEL

Original Issue Date

01/31/2017

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026