MARK R IBE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

IBE

Business Name

MARK R IBE

Original Issue Date

10/03/2019

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026