VICTORIA OLUWABUSOLA FADIYA 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

VICTORIA

Middle

OLUWABUSOLA

Last Name

FADIYA

Business Name

VICTORIA OLUWABUSOLA FADIYA

Original Issue Date

07/25/2013

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

MOKENA

State

Zip

60448

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/21/2018