BOYOUNG SHIM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

ACTIVE

Business

First Name

BOYOUNG

Last Name

SHIM

Business Name

BOYOUNG SHIM

Original Issue Date

03/27/2025

Effective Date

03/27/2025

Expiration Date

05/31/2026

City

DAVENPORT

State

Zip

52807

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026