SOTHIDA BERRY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

ACTIVE

Business

First Name

SOTHIDA

Last Name

BERRY

Business Name

SOTHIDA BERRY

Original Issue Date

10/31/2013

Effective Date

05/23/2024

Expiration Date

05/31/2026

City

ELBURN

State

Zip

60119

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026