EBONI M PATRICK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

ACTIVE

Business

First Name

EBONI

Middle

Last Name

PATRICK

Business Name

EBONI M PATRICK

Original Issue Date

07/03/2025

Effective Date

07/03/2025

Expiration Date

05/31/2026

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026