OTOBONG ISIDORE UDOUDOH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026231

License Status

ACTIVE

Business

First Name

OTOBONG

Middle

ISIDORE

Last Name

UDOUDOH

Business Name

OTOBONG ISIDORE UDOUDOH

Original Issue Date

10/20/2022

Effective Date

03/19/2026

Expiration Date

05/31/2028

City

STONE MOUNTAIN

State

Zip

30087

Ever Disciplined

LastModifiedDate

03/19/2026