GINA K KIM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****35

License Status

INACTIVE

Business

First Name

GINA

Middle

Last Name

KIM

Business Name

GINA K KIM

Original Issue Date

03/10/2020

Effective Date

03/10/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60613

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2022