SWARNA SREE GUMMADI 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

SWARNA

Middle

SREE

Last Name

GUMMADI

Business Name

SWARNA SREE GUMMADI

Original Issue Date

09/29/2023

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026