SOPHIA KHAWLY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

INACTIVE

Business

First Name

SOPHIA

Last Name

KHAWLY

Business Name

SOPHIA KHAWLY

Original Issue Date

03/05/2019

Effective Date

12/18/2023

Expiration Date

06/30/2024

City

BERWYN

State

Zip

60402

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/30/2024