AHNAWEE SOUTH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

ACTIVE

Business

First Name

AHNAWEE

Last Name

SOUTH

Business Name

AHNAWEE SOUTH

Original Issue Date

07/10/2021

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60628

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026