OLADIMEJI M KASSIM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

NOT RENEWED

Business

First Name

OLADIMEJI

Middle

Last Name

KASSIM

Business Name

OLADIMEJI M KASSIM

Original Issue Date

12/04/2019

Effective Date

12/04/2019

Expiration Date

09/30/2020

City

HAZEL CREST

State

Zip

60429

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021