MODUPE O ADEFESO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

INACTIVE

Business

First Name

MODUPE

Middle

Last Name

ADEFESO

Business Name

MODUPE O ADEFESO

Original Issue Date

08/11/2023

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

SKOKIE

State

Zip

60203

Ever Disciplined

LastModifiedDate

11/23/2025