SALLY SHIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

SALLY

Last Name

SHIN

Business Name

SALLY SHIN

Original Issue Date

05/03/2023

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2026