MARIAM DIALLO-FOFANA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013531

License Status

INACTIVE

Business

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

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020