JACQUELINE KAMENE ITAMBO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015828

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

KAMENE

Last Name

ITAMBO

Business Name

JACQUELINE KAMENE ITAMBO

Original Issue Date

03/29/2017

Effective Date

03/29/2017

Expiration Date

05/31/2018

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

07/19/2018