GINA K KIM 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

GINA

Middle

Last Name

KIM

Business Name

GINA K KIM

Original Issue Date

03/25/2020

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026