MARCELINE KOUGBANI-SEBOU Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

ACTIVE

Business

First Name

MARCELINE

Last Name

KOUGBANI-SEBOU

Business Name

MARCELINE KOUGBANI-SEBOU

Original Issue Date

04/01/2020

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

SILVIS

State

Zip

61282

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026