MAGDALENA M BOBA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

NOT RENEWED

Business

First Name

MAGDALENA

Middle

Last Name

BOBA

Business Name

MAGDALENA M BOBA

Original Issue Date

06/10/2011

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

SYCAMORE

State

Zip

60178

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021