ZARA A MEHTA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

INACTIVE

Business

First Name

ZARA

Middle

Last Name

MEHTA

Business Name

ZARA A MEHTA

Original Issue Date

10/10/2020

Effective Date

06/19/2024

Expiration Date

05/31/2026

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2025