DOLLY O AGBA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

INACTIVE

Business

First Name

DOLLY

Middle

Last Name

AGBA

Business Name

DOLLY O AGBA

Original Issue Date

08/22/2006

Effective Date

04/09/2024

Expiration Date

05/31/2026

City

JOLIET

State

Zip

60433

County

WILL

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/24/2025