KAFILAT K SHOBAJO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

NOT RENEWED

Business

First Name

KAFILAT

Middle

Last Name

SHOBAJO

Prefix

Business Name

KAFILAT K SHOBAJO

Original Issue Date

11/05/2021

Effective Date

06/16/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60657

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025