MARY ROSE MABBAGU Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

ACTIVE

Business

First Name

MARY

Middle

ROSE

Last Name

MABBAGU

Business Name

MARY ROSE MABBAGU

Original Issue Date

03/08/2023

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

SKOKIE

State

Zip

60077

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026