SUSAN MISKOVICH MEHTA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

ACTIVE

Business

First Name

SUSAN

Middle

MISKOVICH

Last Name

MEHTA

Business Name

SUSAN MISKOVICH MEHTA

BusinessDBA

SUSAN MISKOVICH

Original Issue Date

02/24/2022

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026