GAYATHRI S MOORTHY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

ACTIVE

Business

First Name

GAYATHRI

Middle

Last Name

MOORTHY

Business Name

GAYATHRI S MOORTHY

Original Issue Date

12/26/2018

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

HAWTHORN WOODS

State

Zip

60047

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026