MICHAEL JIWOO KIM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

JIWOO

Last Name

KIM

Business Name

MICHAEL JIWOO KIM

Original Issue Date

10/04/2021

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

BOLINGBROOK

State

Zip

60490

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026