PULKITA P PATEL Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

INOPERATIVE

Business

First Name

PULKITA

Middle

Last Name

PATEL

Business Name

PULKITA P PATEL

Original Issue Date

10/07/2014

Effective Date

10/07/2014

Expiration Date

05/31/2016

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/09/2014