SONAL B PATEL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

NOT RENEWED

Business

First Name

SONAL

Middle

Last Name

PATEL

Business Name

SONAL B PATEL

Original Issue Date

08/01/2017

Effective Date

04/26/2018

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021