ANN F OMBAO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041342736

License Status

NOT RENEWED

Business

First Name

ANN

Middle

Last Name

OMBAO

Business Name

ANN F OMBAO

Original Issue Date

09/17/2004

Effective Date

09/17/2004

Expiration Date

05/31/2008

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/11/2008