POOJA DAVE PATEL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

INACTIVE

Business

First Name

POOJA

Middle

DAVE

Last Name

PATEL

Business Name

POOJA DAVE PATEL

Original Issue Date

10/29/2014

Effective Date

05/05/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60622

County

COOK

Delegated Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

05/05/2020