RAYNA ELIZABETH BEN MOHA MD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

NOT RENEWED

Business

Title

First Name

RAYNA

Middle

ELIZABETH

Last Name

BEN MOHA

Business Name

RAYNA ELIZABETH BEN MOHA MD

Original Issue Date

11/04/2021

Effective Date

07/20/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60640

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025