SAMSON AJIBOLA OMOWUMI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209030167

License Status

ACTIVE

Business

First Name

SAMSON

Middle

AJIBOLA

Last Name

OMOWUMI

Business Name

SAMSON AJIBOLA OMOWUMI

Original Issue Date

07/31/2024

Effective Date

03/10/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

03/10/2026