GLORY O IKERODAH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

INACTIVE

Business

First Name

GLORY

Middle

Last Name

IKERODAH

Business Name

GLORY O IKERODAH

Original Issue Date

01/31/2019

Effective Date

06/29/2022

Expiration Date

05/31/2024

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023