AUDREY OETOMO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

ACTIVE

Business

First Name

AUDREY

Last Name

OETOMO

Business Name

AUDREY OETOMO

Original Issue Date

07/29/2016

Effective Date

05/24/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60661

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026