AUTUMN SEUNGHEE SONG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

ACTIVE

Business

First Name

AUTUMN

Middle

SEUNGHEE

Last Name

SONG

Business Name

AUTUMN SEUNGHEE SONG

Original Issue Date

05/09/2022

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026