DEHEDGRA M IDOWU Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

ACTIVE

Business

First Name

DEHEDGRA

Middle

Last Name

IDOWU

Business Name

DEHEDGRA M IDOWU

Original Issue Date

12/04/2014

Effective Date

04/06/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60645

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026