SUPAL S MODI Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041318701

License Status

ACTIVE

Business

First Name

SUPAL

Middle

Last Name

MODI

Business Name

SUPAL S MODI

Original Issue Date

03/14/2000

Effective Date

03/18/2024

Expiration Date

05/31/2026

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/28/2026