SHRUTI TANMAY PATWA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

NOT RENEWED

Business

First Name

SHRUTI

Middle

TANMAY

Last Name

PATWA

Business Name

SHRUTI TANMAY PATWA

Original Issue Date

08/07/2017

Effective Date

08/07/2017

Expiration Date

05/31/2018

City

MT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018