Souphaphone Bounmythavong Nicksic
ActiveIllinois license 30*****51
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 30*****51
- Status
- Active
- First issued
- January 9, 2026
- Expires
- May 31, 2028
- License holder
- Souphaphone Bounmythavong Nicksic
- Entity type
- Individual
Classifications
- Adv Practice Nurse Control Sub Nursing
More from the license record
- Delegated controlled substance schedules
- II III IV V
- Current term began
- 04/01/2026
Other Illinois licenses under this name
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IL
ActiveSouth Elgin, ILExpires May 31, 2028
-
IL
ActiveSouth Elgin, ILExpires May 31, 2028
Contact
Elgin, IL 60123
Kane County