AUGUSTINE A ATEM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

ACTIVE

Business

First Name

AUGUSTINE

Middle

Last Name

ATEM

Business Name

AUGUSTINE A ATEM

Original Issue Date

11/05/2023

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026