NICOLE MAE BOUNPHITHACK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209029416

License Status

ACTIVE

Business

First Name

NICOLE

Middle

MAE

Last Name

BOUNPHITHACK

Business Name

NICOLE MAE BOUNPHITHACK

Original Issue Date

03/14/2024

Effective Date

03/14/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2026