JOHN BAE 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

JOHN

Last Name

BAE

Business Name

JOHN BAE

Original Issue Date

08/23/2024

Effective Date

08/23/2024

Expiration Date

05/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026