DA SOM JANG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

ACTIVE

Business

First Name

DA SOM

Last Name

JANG

Business Name

DA SOM JANG

Original Issue Date

04/03/2023

Effective Date

04/05/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60612

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026