LIJI SURRAO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

ACTIVE

Business

First Name

LIJI

Last Name

SURRAO

Business Name

LIJI SURRAO

Original Issue Date

08/12/2024

Effective Date

08/12/2024

Expiration Date

05/31/2026

City

MOKENA

State

Zip

60448

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026