MARYANN D EBOM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022804

License Status

INACTIVE

Business

First Name

MARYANN

Middle

Last Name

EBOM

Business Name

MARYANN D EBOM

Original Issue Date

02/02/2021

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

HOMEWOOD

State

Zip

60430

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/15/2025