SOO JIN KIM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

NOT RENEWED

Business

First Name

SOO

Middle

JIN

Last Name

KIM

Business Name

SOO JIN KIM

Original Issue Date

08/03/2010

Effective Date

04/20/2020

Expiration Date

08/31/2022

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/14/2022