DIPA M PATEL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

ACTIVE

Business

First Name

DIPA

Middle

Last Name

PATEL

Business Name

DIPA M PATEL

Original Issue Date

08/04/2022

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

ARLINGTON HTS

State

Zip

60004

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026