EVELYN H CHOU Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

NOT RENEWED

Business

First Name

EVELYN

Middle

Last Name

CHOU

Business Name

EVELYN H CHOU

Original Issue Date

08/08/2018

Effective Date

08/08/2018

Expiration Date

09/30/2020

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021