BENILEN GATAN MONDO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

ACTIVE

Business

First Name

BENILEN

Middle

GATAN

Last Name

MONDO

Business Name

BENILEN GATAN MONDO

Original Issue Date

10/06/2024

Effective Date

10/06/2024

Expiration Date

05/31/2026

City

GENEVA

State

Zip

60134

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026