AUTUMN SEUNGHEE SONG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021694

License Status

ACTIVE

Business

First Name

AUTUMN

Middle

SEUNGHEE

Last Name

SONG

Business Name

AUTUMN SEUNGHEE SONG

Original Issue Date

07/24/2020

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60612

Ever Disciplined

LastModifiedDate

03/05/2026