SHIJI BENNY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

ACTIVE

Business

First Name

SHIJI

Last Name

BENNY

Business Name

SHIJI BENNY

Original Issue Date

12/29/2017

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026