OMOTOLA W DANMOLE-ODIMAYO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006961

License Status

INACTIVE

Business

First Name

OMOTOLA

Middle

Last Name

DANMOLE-ODIMAYO

Business Name

OMOTOLA W DANMOLE-ODIMAYO

Original Issue Date

01/28/2008

Effective Date

04/16/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/16/2018