PRIYANKA PATEL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

NOT RENEWED

Business

First Name

PRIYANKA

Last Name

PATEL

Business Name

PRIYANKA PATEL

Original Issue Date

01/29/2019

Effective Date

01/29/2019

Expiration Date

09/30/2020

City

KILDEER

State

Zip

60010

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021