DOROTHY BENJAMIN BASSEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

ACTIVE

Business

First Name

DOROTHY

Middle

BENJAMIN

Last Name

BASSEY

Business Name

DOROTHY BENJAMIN BASSEY

Original Issue Date

09/19/2024

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

BATAVIA

State

Zip

60510

County

KANE

Delegated Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

03/11/2026