AYAGOGO RETTEW - Advanced Practice Nurse License in Indiana | # 30*****67

AYAGOGO RETTEW

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

INOPERATIVE

Business

N

First Name

AYAGOGO

Last Name

RETTEW

Business Name

AYAGOGO RETTEW

Original Issue Date

09/23/2016

Effective Date

06/01/2024

Expiration Date

05/31/2026

State

IN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

06/01/2024