EKALAK YODCHAI 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

EKALAK

Last Name

YODCHAI

Business Name

EKALAK YODCHAI

Original Issue Date

11/03/2017

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60642

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026