BOUBACAR BAH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

ACTIVE

Business

First Name

BOUBACAR

Last Name

BAH

Business Name

BOUBACAR BAH

Original Issue Date

04/27/2023

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

EVERGREEN PARK

State

Zip

60805

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026