URVISHABEN PATEL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

INACTIVE

Business

First Name

URVISHABEN

Last Name

PATEL

Business Name

URVISHABEN PATEL

Original Issue Date

06/15/2020

Effective Date

06/15/2020

Expiration Date

08/31/2022

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2022