GRACE SONGKI MIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

ACTIVE

Business

First Name

GRACE

Middle

SONGKI

Last Name

MIN

Business Name

GRACE SONGKI MIN

Original Issue Date

02/01/2022

Effective Date

04/05/2024

Expiration Date

05/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026