PEI Y HUI-SAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

ACTIVE

Business

First Name

PEI

Middle

Last Name

HUI-SAM

Business Name

PEI Y HUI-SAM

Original Issue Date

03/08/2016

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60618

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/04/2026