SUJATA SHUKLA GUR Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

ACTIVE

Business

First Name

SUJATA

Middle

SHUKLA

Last Name

GUR

Business Name

SUJATA SHUKLA GUR

Original Issue Date

01/09/2008

Effective Date

05/20/2024

Expiration Date

05/31/2026

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026