DHARA S PATEL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

ACTIVE

Business

First Name

DHARA

Middle

Last Name

PATEL

Business Name

DHARA S PATEL

Original Issue Date

09/05/2024

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

DEKALB

State

Zip

60115

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/12/2026