PRAPIS BELLE JISOOK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

ACTIVE

Business

First Name

PRAPIS

Middle

BELLE

Last Name

JISOOK

Business Name

PRAPIS BELLE JISOOK

Original Issue Date

10/21/2016

Effective Date

03/31/2024

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026