OMAIMAH S MAHRAT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

ACTIVE

Business

First Name

OMAIMAH

Middle

Last Name

MAHRAT

Business Name

OMAIMAH S MAHRAT

Original Issue Date

05/26/2023

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026