MITOHOLI SUU HALM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

ACTIVE

Business

First Name

MITOHOLI

Middle

SUU

Last Name

HALM

Business Name

MITOHOLI SUU HALM

Original Issue Date

06/04/2015

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60609

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026