RONG SUN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

ACTIVE

Business

First Name

RONG

Last Name

SUN

Business Name

RONG SUN

Original Issue Date

01/25/2016

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

BALLWIN

State

Zip

63021

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026