GAELLE THIAM DWOMOH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

INACTIVE

Business

First Name

GAELLE

Middle

THIAM

Last Name

DWOMOH

Business Name

GAELLE THIAM DWOMOH

Original Issue Date

12/05/2023

Effective Date

12/05/2023

Expiration Date

06/30/2024

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

03/03/2024