NICOLE MAE BOUNPHITHACK - Advanced Practice Nurse License in Illinois | # 209029416

NICOLE MAE BOUNPHITHACK

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209029416

License Status

ACTIVE

Business

N

First Name

NICOLE

Middle

MAE

Last Name

BOUNPHITHACK

Business Name

NICOLE MAE BOUNPHITHACK

Original Issue Date

03/14/2024

Effective Date

04/04/2026

Expiration Date

05/31/2028

State

IL

Ever Disciplined

N

LastModifiedDate

04/04/2026