LIJI SURRAO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

ACTIVE

Business

First Name

LIJI

Last Name

SURRAO

Business Name

LIJI SURRAO

Original Issue Date

08/29/2023

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

OAK BROOK

State

Zip

60523

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026