JI NA KHANANISHO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

ACTIVE

Business

First Name

JI NA

Last Name

KHANANISHO

Business Name

JI NA KHANANISHO

Original Issue Date

10/25/2022

Effective Date

05/05/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60613

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026