TAWAKALITU A BABAWALE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

ACTIVE

Business

First Name

TAWAKALITU

Middle

Last Name

BABAWALE

Business Name

TAWAKALITU A BABAWALE

Original Issue Date

05/09/2023

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2026