SHAILLY N BRAHMAKSHATRIYA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

ACTIVE

Business

First Name

SHAILLY

Middle

Last Name

BRAHMAKSHATRIYA

Business Name

SHAILLY N BRAHMAKSHATRIYA

Original Issue Date

09/20/2025

Effective Date

09/20/2025

Expiration Date

05/31/2026

City

LIBERTYVILLE

State

Zip

60048

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026