MOHAMED BENNIJ 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

MOHAMED

Last Name

BENNIJ

Business Name

MOHAMED BENNIJ

Original Issue Date

09/14/2017

Effective Date

08/19/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61109

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026