FORUM P PATEL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041366243

License Status

NOT RENEWED

Business

First Name

FORUM

Middle

Last Name

PATEL

Business Name

FORUM P PATEL

Original Issue Date

02/27/2008

Effective Date

03/13/2014

Expiration Date

05/31/2016

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/11/2016