OLUBUKOLA E SHODIYA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

INACTIVE

Business

First Name

OLUBUKOLA

Middle

Last Name

SHODIYA

Business Name

OLUBUKOLA E SHODIYA

Original Issue Date

10/20/2020

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2024