JACK M PHAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209027448

License Status

ACTIVE

Business

First Name

JACK M

Last Name

PHAM

Business Name

JACK M PHAM

Original Issue Date

05/13/2023

Effective Date

03/04/2024

Expiration Date

05/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026