NAOMI S CHINAVONG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

ACTIVE

Business

First Name

NAOMI

Middle

Last Name

CHINAVONG

Business Name

NAOMI S CHINAVONG

Original Issue Date

06/22/2020

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

JOLIET

State

Zip

60436

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026