SOPHIA J KHAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

NOT RENEWED

Business

First Name

SOPHIA

Middle

Last Name

KHAN

Business Name

SOPHIA J KHAN

Original Issue Date

05/20/2019

Effective Date

04/03/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022