JILL A IBRAHIM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

INACTIVE

Business

First Name

JILL

Middle

Last Name

IBRAHIM

Business Name

JILL A IBRAHIM

Original Issue Date

11/13/2017

Effective Date

06/01/2022

Expiration Date

05/31/2024

City

LISLE

State

Zip

60532

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024