JEANNE ODETTE FOMA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015964

License Status

NOT RENEWED

Business

First Name

JEANNE

Middle

ODETTE

Last Name

FOMA

Business Name

JEANNE ODETTE FOMA

Original Issue Date

05/05/2017

Effective Date

05/02/2022

Expiration Date

06/30/2024

City

QUINCY

State

Zip

62301

County

MARYLAND

Ever Disciplined

LastModifiedDate

02/05/2025