FORAM PANKAJKUMAR PATEL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041480413

License Status

NOT RENEWED

Business

First Name

FORAM

Middle

PANKAJKUMAR

Last Name

PATEL

Business Name

FORAM PANKAJKUMAR PATEL

Original Issue Date

06/24/2019

Effective Date

07/09/2020

Expiration Date

08/31/2022

City

EAU CLAIRE

State

Zip

54701

Ever Disciplined

LastModifiedDate

10/14/2022