ELLEN JIYOUNG MOON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

ACTIVE

Business

First Name

ELLEN

Middle

JIYOUNG

Last Name

MOON

Business Name

ELLEN JIYOUNG MOON

Original Issue Date

03/27/2017

Effective Date

03/20/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60607

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2026