SO YOUN KIM-SHEPHERD 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

SO YOUN

Last Name

KIM-SHEPHERD

Business Name

SO YOUN KIM-SHEPHERD

Original Issue Date

03/08/2019

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026