ROSE-HENRY M EBOH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

ACTIVE

Business

First Name

ROSE-HENRY

Middle

Last Name

EBOH

Business Name

ROSE-HENRY M EBOH

Original Issue Date

11/19/2022

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

WAUCONDA

State

Zip

60084

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026