PURVI GABHAWALA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

ACTIVE

Business

First Name

PURVI

Last Name

GABHAWALA

Business Name

PURVI GABHAWALA

Original Issue Date

12/07/2021

Effective Date

03/17/2024

Expiration Date

05/31/2026

City

SOUTH BARRINGTON

State

Zip

60010

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026