MARYAM FATHMA AHMAD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004558

License Status

NOT RENEWED

Business

First Name

MARYAM

Middle

FATHMA

Last Name

AHMAD

Business Name

MARYAM FATHMA AHMAD

Original Issue Date

12/11/2002

Effective Date

12/11/2002

Expiration Date

05/31/2006

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

06/09/2008