HYE EUN SONG Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

INACTIVE

Business

First Name

HYE

Middle

EUN

Last Name

SONG

Business Name

HYE EUN SONG

Original Issue Date

09/20/2022

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2025