MODUPE O ADEFESO - Registered Nurse License in Illinois | # 043103484

MODUPE O ADEFESO

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043103484

License Status

INACTIVE

Business

N

First Name

MODUPE

Middle

O

Last Name

ADEFESO

Business Name

MODUPE O ADEFESO

Original Issue Date

05/04/2007

Effective Date

01/18/2011

Expiration Date

01/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2012