BENO STEPHEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

NOT RENEWED

Business

First Name

BENO

Last Name

STEPHEN

Business Name

BENO STEPHEN

Original Issue Date

10/21/2019

Effective Date

05/06/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60613

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025