MODUPE O ADEFESO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026590

License Status

INACTIVE

Business

First Name

MODUPE

Middle

Last Name

ADEFESO

Business Name

MODUPE O ADEFESO

Original Issue Date

12/19/2022

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

SKOKIE

State

Zip

60203

Ever Disciplined

LastModifiedDate

11/23/2025