MIRA ASHOK DESAI

Business Entity
ACTIVE

Advanced Practice Nurse

FULL PRACTICE AUTHORITY APRN CONTROL SUB

37*****81

ACTIVE

N

MIRA

ASHOK

DESAI

MIRA ASHOK DESAI

08/15/2022

03/23/2026

05/31/2028

CHICAGO

IL

60643

COOK

N

03/23/2026