PRIYANKA A PATEL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

ACTIVE

Business

First Name

PRIYANKA

Middle

Last Name

PATEL

Business Name

PRIYANKA A PATEL

Original Issue Date

07/29/2021

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

LONG GROVE

State

Zip

60047

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026