JEANNE ODETTE FOMA Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

INOPERATIVE

Business

First Name

JEANNE

Middle

ODETTE

Last Name

FOMA

Business Name

JEANNE ODETTE FOMA

Original Issue Date

05/05/2017

Effective Date

05/02/2022

Expiration Date

05/31/2024

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

03/03/2024