MARIAM DIALLO-FOFANA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****24

License Status

INACTIVE

Business

First Name

MARIAM

Last Name

DIALLO-FOFANA

Business Name

MARIAM DIALLO-FOFANA

Original Issue Date

03/02/2016

Effective Date

05/24/2018

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/08/2020