MARIAM DIALLO-FOFANA - Advanced Practice Nurse License in Illinois | # 209013531

MARIAM DIALLO-FOFANA

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013531

License Status

INACTIVE

Business

N

First Name

MARIAM

Last Name

DIALLO-FOFANA

Business Name

MARIAM DIALLO-FOFANA

Original Issue Date

11/03/2015

Effective Date

05/23/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

03/08/2020