License Directory

Souphaphone Bounmythavong Nicksic

Active

Illinois license 209008677

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
209008677
Status
Active
First issued
February 18, 2011
Expires
May 31, 2028
License holder
Souphaphone Bounmythavong Nicksic
Entity type
Individual

Classifications

  • Advanced Practice Registered Nurse Nursing

More from the license record

Current term began
04/01/2026

Other Illinois licenses under this name

Contact

South Elgin, IL 60177
Kane County