DIXITA D PATEL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

NOT RENEWED

Business

First Name

DIXITA

Middle

Last Name

PATEL

Business Name

DIXITA D PATEL

Original Issue Date

03/08/2016

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60623

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021